Kailey Nikole Portello

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

106S00000X Issued in GA

Practice address

506 N Main St
Hinesville, GA 31313-2512

Phone

(615) 560-6622

NPI assigned

Jun 10, 2026

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1781049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781049600000",
    "number": "1205760683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1303 VETERANS PKWY APT 512",
            "city": "HINESVILLE",
            "state": "GA",
            "postal_code": "313136547",
            "telephone_number": "704-935-6265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 N MAIN ST",
            "city": "HINESVILLE",
            "state": "GA",
            "postal_code": "313132512",
            "telephone_number": "615-560-6622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTELLO",
        "first_name": "KAILEY",
        "middle_name": "NIKOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-06-10",
        "last_updated": "2026-06-10",
        "certification_date": "2026-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "GA",
            "license": "106S00000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph E Pittman, OD
• Podiatry Medical Surgical LLC
• Dania Josefina Polanco-Hiraldo, RRT
• Joan Poor
• Rachel Russell Pope, OTR/L
• Eiesha Denise Porter, LPC
• Michael Porter, LPC
• Positive Image Prosthetics & Orthotics, Inc
• Lymari A Powe
• Dominique Lynne'E Powell

• Behavior Technician in Hinesville, GA
• Providers in Hinesville, GA by specialty
• Behavior Technician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.

Verify at the official NPI Registry.