Julio Portal

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-20-131848 Issued in FL

Practice address

3800 NW 201St Ter
Miami Gardens, FL 33055-1427

Phone

(786) 378-9197

NPI assigned

Nov 6, 2020

Last updated

Nov 6, 2020By the provider in NPPES

Sex

Male

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

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Little Hearts Behavior Support Corp

  • Behavior Analyst
  • Miami Gardens, FL
  • NPI 1114569530
  NPD

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

{
    "created_epoch": "1604620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604620800000",
    "number": "1497356216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12472 SW 26TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331752102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 NW 201ST TER",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "330551427",
            "telephone_number": "786-378-9197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTAL",
        "first_name": "JULIO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-11-06",
        "last_updated": "2020-11-06",
        "certification_date": "2020-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-20-131848",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Polka Line Supplies Inc
• Danielly Pombo Gavilan
• Daibelys Ponce
• Amanda Sofia Pons Valdes
• Gonzalo Portal Lemock, APRN
• Yudeny D Portal, RBT
• Yaimaris Portela
• Jacqueline Angeles Portobanco
• Maria Portobanco, OTR/L
• Reina Paola Portobanco, COTA/L

• Behavior Technician in Miami Gardens, FL
• Providers in Miami Gardens, FL by specialty
• Behavior Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2020; 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.