Individual
BRANDON PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6694 PALOVERDE RD, CASTRO VALLEY, CA 94552-9651
(510) 269-9030
Mailing address
3301 E 12TH ST STE 259, OAKLAND, CA 94601-2940
(510) 269-9030
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
05/25/2021
Last updated
06/27/2025
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