Portilla, Yanexis

Portilla, Yanexis is an individual health care provider with primary practice located at 5551 Reisterstown Rd , North Port FL 34291-4708. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Portilla, Yanexis can be contacted via phone (239) 286-8242.

Contact Information

Primary practice address
5551 Reisterstown Rd North Port FL 34291-4708
Phone: (239) 286-8242
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X

Profile Details

NPI number 1669997169
LBN Legal business name Portilla, Yanexis
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 7th, 2017
Last updated Jun 2nd, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669997169 NPPES
Florida MEDICAID 023133800

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