MRS. Gia Daniella Portillo

NPI #1437663200 in Tularosa, New Mexico

Provider Information

NPI Number: 1437663200
Entity Type: Individual
Name: MRS. Gia Daniella Portillo
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Nov 30, 2017
Last Updated: Nov 30, 2017

Practice Location

Address: 7 VACQUERO LN
City: Tularosa
State: New Mexico
ZIP Code: 88352-9318
Phone: (575) 430-0246

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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