Individual
LA'VAR MAR'QIES PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1956 DWARF STAR DR APT 2034, LAS VEGAS, NV 89115-6244
(702) 337-6432
Mailing address
2449 N TENAYA WAY # 33901, LAS VEGAS, NV 89128-9995
(702) 337-6432
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
225400000X
Rehabilitation Practitioner
—
—
Other
Enumeration date
10/02/2013
Last updated
03/28/2022
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