Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Michael Demetrie Portillo

Individual provider Behavior Technician · NPI 1033847561

Michael Demetrie Portillo is a Behavior Technician in Los Angeles, California. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

4322 Wilshire Blvd Ste 104
Los Angeles, CA 90010-3737
Phone: (323) 879-4951
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1033847561
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 11, 2022
Last updated in NPPESAugust 11, 2022
Certification dateAugust 11, 2022

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