Amber Laquita Portis
Behavior Technician
1500 S Haven Ave Ste 250
Ontario
, California 91761-2973
Amber Laquita Portis
Behavior Technician
1500 S Haven Ave Ste 250
Ontario
, California 91761-2973
(909) 217-3456
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About
Features
Specialties
- Behavior Technician
Languages spoken
- English
Location
First Address
- Amber Laquita Portis
- 1500 S Haven Ave Ste 250
- Ontario, CA
- Zip : 91761-2973
- Fax : (909) 217-3456
- Phone : (909) 749-5204
Second Address
- Amber Laquita Portis
- 1500 S Haven Ave Ste 250
- Ontario, CA
- Zip : 91761-2973
- Fax : (909) 217-3456
- Phone : (909) 749-5204
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Is Amber Laquita Portis a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician |
National Provider Identifier
| NPI | 1003393075 |
|---|---|
| Provider Name | Amber Laquita Portis |
| First Address | Ontario, CA 91761-2973 |
| Second Address | Ontario, CA 91761-2973 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/07/2018 |
| Last Update Date | 29/09/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.