Individual
DASHA PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
128 FRANCES MEEKS WAY STE 8, RICHMOND HILL, GA 31324-3984
(912) 445-2098
Mailing address
217 BRADWELL ST APT D11, HINESVILLE, GA 31313-2798
(912) 237-6795
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/13/2024
Last updated
08/13/2024
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