Active NPI
Kenia Denise Portillo
- Behavior Analyst
- Las Cruces, NM
National Provider Identifier
1043997489
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 1675 Hickory Loop
Las Cruces, NM 88005-6587 - Phone
- (575) 652-3155
- Fax
- (505) 441-2871
- NPI assigned
- Jun 28, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-23-287552 | NM | |
| Behavior Analyst | 103K00000X | NM | Primary |
Addresses
Primary practice location
1675 Hickory Loop
Las Cruces, NM 88005-6587
Mailing address
301 Perkins Dr Ste B
Las Cruces, NM 88005-3248
Phone (575) 652-3155
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-23-287552 | NM | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1687910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788220800000",
"number": "1043997489",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 PERKINS DR STE B",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880053248",
"telephone_number": "575-652-3155",
"fax_number": "505-441-2871"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1675 HICKORY LOOP",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880056587",
"telephone_number": "575-652-3155",
"fax_number": "505-441-2871"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PORTILLO",
"first_name": "KENIA",
"middle_name": "DENISE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-06-28",
"last_updated": "2026-09-01",
"certification_date": "2026-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "NM",
"license": "RBT-23-287552",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NM",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Las Cruces, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.