Individual
MRS. MADELINE ELIZABETH PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RBT, BCBA
Contact information
Practice address
250 5TH AVE S STE 108, NASHVILLE, TN 37203-4206
(877) 315-8080
Mailing address
373 S WILLOW ST STE 266, MANCHESTER, NH 03103-5751
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
245216
KY
103K00000X
Behavior Analyst
Primary
LBA0000000421
TN
Other
Enumeration date
02/15/2018
Last updated
03/15/2021
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