Individual
ABIGAIL PORTILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1100 W TOWN AND COUNTRY RD STE 1250, ORANGE, CA 92868-4633
(844) 669-7827
Mailing address
1100 W TOWN AND COUNTRY RD STE 1250, ORANGE, CA 92868-4633
(844) 669-7827
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/10/2019
Last updated
06/10/2019
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