Individual
CHARNIKA PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1514 RIVERBROOKE WAY NE, CONYERS, GA 30012-6624
(678) 643-0885
Mailing address
1514 RIVERBROOKE WAY NE, CONYERS, GA 30012-6624
(678) 643-0885
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/10/2024
Last updated
06/10/2024
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