Active NPI
Vivian Portillo
- Behavior Technician
- Inlet Beach, FL
National Provider Identifier
1174432090
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 231 Blue Stream Way Apt 5101
Inlet Beach, FL 32461-8621 - Phone
- (305) 879-2654
- NPI assigned
- Sep 4, 2026
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | FL | Primary |
Addresses
Primary practice location
231 Blue Stream Way Apt 5101
Inlet Beach, FL 32461-8621
Mailing address
1850 SW Aledo LN Apt 5211
Port St Lucie, FL 34953-4159
Phone (305) 879-2654
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788480000000",
"number": "1174432090",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1850 SW ALEDO LN APT 5211",
"city": "PORT ST LUCIE",
"state": "FL",
"postal_code": "349534159",
"telephone_number": "305-879-2654"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "231 BLUE STREAM WAY APT 5101",
"city": "INLET BEACH",
"state": "FL",
"postal_code": "324618621",
"telephone_number": "305-879-2654"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PORTILLO",
"first_name": "VIVIAN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-09-04",
"last_updated": "2026-09-04",
"certification_date": "2026-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Behavior Technician",
"state": "FL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Inlet Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.