Kaitlynn M Portillo
NPI #1063077378 in Jacksonville, North Carolina
Provider Information
- NPI Number
- 1063077378
- Entity Type
- Individual
- Name
- Kaitlynn M Portillo
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Behavior Technician
- Enumeration Date
- May 2, 2019
- Last Updated
- Feb 17, 2021
Practice Location
- Address
- 200 DOCTORS DR STE 200
- City
- Jacksonville
- State
- North Carolina
- ZIP Code
- 28546-6310
- Phone
- (910) 333-0814
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
| Behavior Technician |
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