Individual
NICOLE PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED. BCBA
Contact information
Practice address
9844 RESEARCH DR, IRVINE, CA 92618-4381
(760) 815-4771
Mailing address
PO BOX 231831, ENCINITAS, CA 92023-1831
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/30/2018
Last updated
01/30/2023
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