Individual
CHRISTINA PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA/COBA
Contact information
Practice address
546 STREAMWATER DR, BLACKLICK, OH 43004-8135
(614) 935-7945
Mailing address
130 E WILSON BRIDGE RD STE 200, WORTHINGTON, OH 43085-2391
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
COBA.00546
OH
171M00000X
Case Manager/Care Coordinator
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010684796
—
OH
05
—
1473276
—
OH
Enumeration date
01/10/2018
Last updated
12/19/2024
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