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Individual

BLAIR A PORTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BCBA

Contact information

Practice address
134 BELLE FOREST CIR, NASHVILLE, TN 37221-2104
(615) 636-1206
Mailing address
810 BELLEVUE RD APT 187, NASHVILLE, TN 37221-2734
(615) 636-1206

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
TN

Other

Enumeration date
05/17/2019
Last updated
05/17/2019
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