Bridgette Porter

NPI #1437956836 in Maitland, Florida

Provider Information

NPI Number: 1437956836
Entity Type: Individual
Name: Bridgette Porter
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Feb 25, 2025
Last Updated: Feb 25, 2025

Practice Location

Address: 601 S LAKE DESTINY RD
City: Maitland
State: Florida
ZIP Code: 32751-7226
Phone: (407) 317-3200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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