Individual
BELINDA PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BHA
Contact information
Practice address
619 N MAIN ST, MUSKOGEE, OK 74401-4431
(918) 682-8407
(918) 682-1480
Mailing address
619 N MAIN ST, MUSKOGEE, OK 74401-4431
(918) 682-8407
(918) 682-1480
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
958
—
OK
05
—
981
—
OK
Enumeration date
07/29/2021
Last updated
07/29/2021
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