Angel Porter

NPI #1407620446 in Stanwood, Michigan

Provider Information

NPI Number: 1407620446
Entity Type: Individual
Name: Angel Porter
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Nov 9, 2023
Last Updated: Nov 9, 2023

Practice Location

Address: 8540 105TH AVE
City: Stanwood
State: Michigan
ZIP Code: 49346-9764
Phone: (269) 366-9554

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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