Jack Porras
Jack Porras is a Behavior Technician in Glendale, California. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
741 Glenvia St Ste 102200Glendale, CA 91206-2425
Phone: (888) 805-0759
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X |
|---|
Record details
| NPI number | 1114590940 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | July 20, 2021 |
| Last updated in NPPES | July 20, 2021 |
| Certification date | July 20, 2021 |
| Mailing address | 1055 E Colorado Blvd Ste 560, Pasadena, CA 91106-2380 |
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