Individual
ALLAN FERNANDO PORTILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8609 2ND AVE STE 506B, SILVER SPRING, MD 20910-3362
(240) 398-3514
(877) 637-7490
Mailing address
8609 2ND AVE STE 506B, SILVER SPRING, MD 20910-3362
(240) 398-3514
(877) 637-7490
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/01/2023
Last updated
07/02/2024
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