Gia Daniella Portillo

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

7 Vacquero LN
Tularosa, NM 88352-9318

Phone

(575) 430-0246

NPI assigned

Nov 30, 2017

Last updated

Nov 30, 2017By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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": "1512000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512000000000",
    "number": "1437663200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 VACQUERO LN",
            "city": "TULAROSA",
            "state": "NM",
            "postal_code": "883529318",
            "telephone_number": "575-430-0246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 VACQUERO LN",
            "city": "TULAROSA",
            "state": "NM",
            "postal_code": "883529318",
            "telephone_number": "575-430-0246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTILLO",
        "first_name": "GIA",
        "middle_name": "DANIELLA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-30",
        "last_updated": "2017-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jody Lea Hill
• Angeni Kemp
• Suzanne Nora Mancil, B.C.B.A.
• Regina A Mares, LCSW
• Nikole Matinzo
• Presbyterian Medical Services (Tularosa Medical Center)
• Megan Salaz
• Tularosa Municipal Schools
• Wendy Velez, CNP
• Lucinda Wood

• Behavior Technician in Tularosa, NM
• Providers in Tularosa, NM by specialty
• Behavior Technician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2017; 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.