Individual
ALISHA NICHOLE PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2306 S ESPINA ST APT D9, LAS CRUCES, NM 88001-5554
(505) 579-9203
Mailing address
2306 S ESPINA ST APT D9, LAS CRUCES, NM 88001-5554
(505) 579-9203
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/05/2020
Last updated
04/05/2020
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