Kaitlynn M Portillo
Behavior Technician in Jacksonville, North Carolina
1063077378- Practice location
- 200 Doctors Dr Ste 200, Jacksonville, NC 28546-6310
- Phone
- 910-333-0814
- Fax
- —
- Last updated
- February 17, 2021
Kaitlynn M Portillo is a Behavior Technician based in Jacksonville, NC. Kaitlynn M Portillo practices in Jacksonville, NC. The NPI Number for Kaitlynn M Portillo is 1063077378. The current practice location address for Kaitlynn M Portillo is 200 Doctors Dr Ste 200, Jacksonville, NC 28546-6310 and can be reached out via phone at 910-333-0814.
Provider Profile Details
- NPI Number
- 1063077378
- Provider Name
- Kaitlynn M Portillo
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 200 Doctors Dr Ste 200, Jacksonville, NC 28546-6310
- Phone Number
- 910-333-0814
- Primary Taxonomy
- Behavior Technician · 106S00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- May 2, 2019
- Last Update Date
- February 17, 2021
- Certification Date
- February 17, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 200 Doctors Dr Ste 200
Jacksonville, NC 28546-6310 - City
- Jacksonville
- State
- North Carolina
- Zip
- 28546-6310
- Phone Number
- 910-333-0814
Provider Business Mailing Address Details
- Address
- 41 Pacella Park Dr
Randolph, MA 02368-1755 - City
- Randolph
- State
- MA
- Zip
- 02368-1755
- Phone Number
- 910-333-0814
License Information
- Taxonomy (1)
- Counselor, Mental Health · 101YM0800X
- Taxonomy (2)
- Behavior Technician · 106S00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Kaitlynn M Portillo?
The NPI number of Kaitlynn M Portillo is 1063077378. It was assigned on May 2, 2019 and is currently active in the NPPES registry.
What is the specialty of Kaitlynn M Portillo?
Kaitlynn M Portillo is registered under the primary taxonomy Behavior Technician (code 106S00000X).
Where does Kaitlynn M Portillo practice?
The practice location is 200 Doctors Dr Ste 200, Jacksonville, NC 28546-6310. The office can be reached at 910-333-0814 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1063077378 directly on the NPPES registry website.