MAURICIO ANTONIO PORTILLO

NORTHRIDGE, CA
NPI1063044311
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
Enumeration Date2020-02-05
Last Update Date2020-02-05
Business Address
Mr. MAURICIO ANTONIO PORTILLO
9335 RESEDA BLVD STE 101
NORTHRIDGE, CA 91324-2968
Phone number: 818-960-0635
Mailing Address
Mr. MAURICIO ANTONIO PORTILLO
21600 OXNARD ST STE 1800
WOODLAND HILLS, CA 91367-7807
Phone number: 818-345-2345
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