Individual
DELSEAN PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2750 TECHNICAL DR, MIAMISBURG, OH 45342
(937) 847-8750
Mailing address
2420 GRANT AVENUE, DAYTON, OH 45406
(937) 554-3887
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/18/2017
Last updated
07/25/2017
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