Jessica Jasmin Portillo Pola

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

6771 W Charleston Blvd Ste C
Las Vegas, NV 89146-9016

Phone

(702) 405-8772

NPI assigned

Jul 8, 2024

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": "1720396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748908800000",
    "number": "1871339960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3613 WOODGLEN CT",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891081161",
            "telephone_number": "702-493-5786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6771 W CHARLESTON BLVD STE C",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891469016",
            "telephone_number": "702-405-8772"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3930 Howard Hughes Pkwy Ste 300",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891690946",
            "country_code": "US",
            "telephone_number": "702-560-2192",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PORTILLO POLA",
        "first_name": "JESSICA",
        "middle_name": "JASMIN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-08",
        "last_updated": "2025-06-03",
        "certification_date": "2025-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rolando Portero
• Daimy Portes
• Thaymi Portes
• Portillo Genesis Therapy PLLC
• Maria Argelia Portillo Mendoza
• Alexis Emily Portillo
• Alicia Dawn Portillo
• Angela Portillo
• Britney Portillo, RN
• Genghis Portillo, M.D.

• Behavior Technician in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Behavior Technician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2025; 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.