Individual
AILEEN YVETTE PORTILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
6031 BELL ST, AMARILLO, TX 79109-6618
(806) 367-9358
(806) 500-2772
Mailing address
1606 SW 48TH AVE, AMARILLO, TX 79110-2612
(806) 678-4565
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-87706
TX
Other
Enumeration date
12/10/2019
Last updated
12/10/2019
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