Jewel Porter
NPI #1114579752 in Fort Lauderda, Florida
Provider Information
- NPI Number
- 1114579752
- Entity Type
- Individual
- Name
- Jewel Porter
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Behavior Technician
- Enumeration Date
- Jul 14, 2019
- Last Updated
- Jul 14, 2019
Practice Location
- Address
- 1000 NW 65TH ST.
- Address 2
- SUITE #201
- City
- Fort Lauderda
- State
- Florida
- ZIP Code
- 33309
- Phone
- (855) 832-6727
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
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