Jacob A Porter
NPI #1972119758 in Youngstown, Ohio
Provider Information
- NPI Number
- 1972119758
- Entity Type
- Individual
- Name
- Jacob A Porter
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Sep 17, 2020
- Last Updated
- Oct 4, 2021
Practice Location
- Address
- 238 S MERIDIAN RD
- City
- Youngstown
- State
- Ohio
- ZIP Code
- 44509-2925
- Phone
- (330) 318-3436
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
| Community/Behavioral Health |
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