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Individual

ANTRIEL PORTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
34 SHERMAN AVE, PATERSON, NJ 07502-2305
(862) 287-5670
Mailing address
88 SANDY CT, PATERSON, NJ 07522-2006
(862) 336-2339
(862) 336-2339

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
03/18/2025
Last updated
03/18/2025
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