Individual
ALEXANDREA PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
402 N 8TH ST, KILLEEN, TX 76541-5215
(910) 484-1711
Mailing address
402 N 8TH ST, KILLEEN, TX 76541-5215
(910) 484-1711
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-49320
NC
103K00000X
Behavior Analyst
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Other
Enumeration date
04/20/2021
Last updated
01/12/2022
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