Mr. Mauricio Antonio Portillo Jr.
Mr. Mauricio Antonio Portillo Jr. is a Behavior Technician in Northridge, California. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
9335 Reseda Blvd Ste 101Northridge, CA 91324-2968
Phone: (818) 960-0635
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X |
|---|
Record details
| NPI number | 1063044311 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | February 5, 2020 |
| Last updated in NPPES | February 5, 2020 |
| Certification date | February 5, 2020 |
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