Individual
EVELYN PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
6 SOUTHSIDE RD, DANVERS, MA 01923-1409
(978) 762-4878
Mailing address
6 SOUTHSIDE RD, DANVERS, MA 01923-1409
(978) 762-4878
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
11410348
MA
Other
Enumeration date
05/29/2015
Last updated
11/19/2016
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