Lily Danielle Porter

NPI #1043964901 in Gonzales, Louisiana

Provider Information

NPI Number: 1043964901
Entity Type: Individual
Name: Lily Danielle Porter
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Feb 9, 2022
Last Updated: Feb 9, 2022

Practice Location

Address: 1028 E WORTHY ST
City: Gonzales
State: Louisiana
ZIP Code: 70737-4367
Phone: (504) 399-9851

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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