Individual
AMANDA ELLEN PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
152 SYLVAN ST, DANVERS, MA 01923-3558
(800) 804-5041
Mailing address
152 SYLVAN ST, DANVERS, MA 01923-3558
(800) 804-5041
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/05/2020
Last updated
03/05/2020
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