Individual
AIMEE NICOLE PORTILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2105 E PARK ST, CEDAR PARK, TX 78613-4598
(512) 588-1362
(512) 792-4834
Mailing address
2300 WOLF RANCH PKWY APT 1207, GEORGETOWN, TX 78628-7287
(512) 968-5667
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
RBT-17-41036
TX
Other
Enumeration date
01/22/2018
Last updated
05/18/2022
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