Charles Fredrick Porter
Charles Fredrick Porter is a Behavior Technician in Glendale, Arizona. Practices as a sole proprietor. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
4480 W Peoria AveGlendale, AZ 85302-2038
Phone: (702) 807-8670
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Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X |
|---|
Record details
| NPI number | 1699467175 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | May 23, 2023 |
| Last updated in NPPES | May 23, 2023 |
| Certification date | February 9, 2023 |
| Mailing address | 8232 Ocean Terrace Way, Las Vegas, NV 89128-7457 |
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