Individual
CLAUDIA PORTILLO DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6904 20TH AVE, HYATTSVILLE, MD 20783-2884
(240) 310-5350
Mailing address
6904 20TH AVE, HYATTSVILLE, MD 20783-2884
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/26/2021
Last updated
12/28/2021
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