Portilla, Yanexis

Portilla, Yanexis is an individual health care provider with primary practice located at 2517 42Nd St W , Lehigh Acres FL 33971-5761. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Portilla, Yanexis can be contacted via phone (239) 286-8242.

Contact Information

Primary practice address
2517 42Nd St W Lehigh Acres FL 33971-5761
Phone: (239) 286-8242
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X

Profile Details

NPI number 1669997169
LBN Legal business name Portilla, Yanexis
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 7th, 2017
Last updated Mar 7th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669997169 NPPES
Florida MEDICAID 023133800

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