Katherine Portillo

NPI #1376238246 in Kensington, Maryland

Provider Information

NPI Number: 1376238246
Entity Type: Individual
Name: Katherine Portillo
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Apr 6, 2023
Last Updated: Apr 6, 2023

Practice Location

Address: 4107 MITSCHER CT
City: Kensington
State: Maryland
ZIP Code: 20895-1307
Phone: (515) 451-0925

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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