Amber Laquita Portis

NPI #1003393075 in Ontario, California

Provider Information

NPI Number: 1003393075
Entity Type: Individual
Name: Amber Laquita Portis
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jul 23, 2018
Last Updated: Sep 29, 2021

Practice Location

Address: 1500 S HAVEN AVE STE 250
City: Ontario
State: California
ZIP Code: 91761-2973
Phone: (909) 749-5204

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Marriage & Family Therapist	106H00000X
Behavior Technician	106S00000X	Primary

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