Individual
NICHILA PORTEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
420 HERLONG AVE S STE 104, ROCK HILL, SC 29732-1091
(803) 328-0587
(888) 500-7047
Mailing address
420 HERLONG AVE S STE 104, ROCK HILL, SC 29732-1091
(803) 328-0587
(888) 500-7047
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-22-208161
SC
Other
Enumeration date
04/26/2022
Last updated
04/26/2022
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