Daimarelys Portillo Gonzalez

NPI #1841007549 in Lehigh Acres, Florida

Provider Information

NPI Number: 1841007549
Entity Type: Individual
Name: Daimarelys Portillo Gonzalez
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Dec 16, 2024
Last Updated: Dec 16, 2024

Practice Location

Address: 2702 12TH ST SW
City: Lehigh Acres
State: Florida
ZIP Code: 33976-3119
Phone: (239) 222-5435

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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