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1154898286
THELMA PORTILLO
CONCORD, CA
NPI
1154898286
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: CA RBT-18-68611)
Enumeration Date
2018-10-26
Last Update Date
2018-10-26
Business Address
THELMA PORTILLO
1855 2ND ST STE B
CONCORD, CA 94519-2623
Phone number: 925-239-9640
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Mailing Address
THELMA PORTILLO
16782 VON KARMAN AVE STE 11
IRVINE, CA 92606-2417
Phone number: 949-833-2237
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