Individual
ALEXUS PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
14235 BLANCO RD, SAN ANTONIO, TX 78216-7718
(210) 415-9626
Mailing address
4544 MEADOW GRN, SCHERTZ, TX 78108-2421
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-22-247322
TX
Other
Enumeration date
12/16/2022
Last updated
12/16/2022
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