Malaya Janae Porter

NPI #1811698251 in Matteson, Illinois

Provider Information

NPI Number: 1811698251
Entity Type: Individual
Name: Malaya Janae Porter
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Mar 13, 2023
Last Updated: Mar 13, 2023

Practice Location

Address: 6325 VIRGINIA LN
City: Matteson
State: Illinois
ZIP Code: 60443-2074
Phone: (708) 606-4805

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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