Individual
MARANDA PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
528 GOLDEN GROVE LN, RICHMOND HILL, GA 31324-5908
(888) 508-1012
(888) 558-9897
Mailing address
528 GOLDEN GROVE LN, RICHMOND HILL, GA 31324-5908
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-55837
GA
Other
Enumeration date
08/12/2016
Last updated
05/04/2022
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