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Individual
JOSE ANGEL PORTILLO
Active
Individual
JOSE ANGEL PORTILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RBT
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-22-59469
CA
106S00000X
Behavior Technician
—
—
Other
Enumeration date
08/18/2019
Last updated
06/11/2022
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