Tia Portillo

NPI #1669141701 in Cambridge, Minnesota

Provider Information

NPI Number: 1669141701
Entity Type: Individual
Name: Tia Portillo
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Sep 11, 2021
Last Updated: Sep 11, 2021

Practice Location

Address: 1994 E RUM RIVER DR S
City: Cambridge
State: Minnesota
ZIP Code: 55008-2663
Phone: (763) 689-5385

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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