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Individual
MELISSA M PORFIRIO
Active
Individual
MELISSA M PORFIRIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ED.S, BCBA
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-12-10416
FL
103TS0200X
School Psychologist
SS1061
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002 402 300
—
FL
Enumeration date
12/29/2012
Last updated
12/29/2012
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