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1366200297
NALLELY PORTILLO
ELIZABETH CITY, NC
NPI
1366200297
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: 24-331588)
Enumeration Date
2024-03-06
Last Update Date
2024-03-06
Business Address
NALLELY PORTILLO RBT
1431B WEEKSVILLE RD
ELIZABETH CITY, NC 27909-8431
Phone number: 252-677-5100
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Mailing Address
NALLELY PORTILLO RBT
3126 W CARY ST BOX 116, ATLANTIC AUTISM SERVICES, INC
RICHMOND, VA 23221
Phone number: 252-677-5100
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