Portillo, Mauricio Antonio

Portillo, Mauricio Antonio is an individual health care provider with primary practice located at 9335 Reseda Blvd Ste 101 , Northridge CA 91324-2968. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as his primary health care specialty. Portillo, Mauricio Antonio can be contacted via phone (818) 960-0635.

Contact Information

Primary practice address
9335 Reseda Blvd Ste 101 Northridge CA 91324-2968
Phone: (818) 960-0635
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1063044311
LBN Legal business name Portillo, Mauricio Antonio
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 5th, 2020
Last updated Feb 5th, 2020 - about 6 years ago

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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