Individual
LA'NYA PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4652 HAYGOOD RD STE C, VIRGINIA BEACH, VA 23455-5447
(757) 655-7274
Mailing address
1219 SKYLARK DR, WESTON, FL 33327-2380
(540) 922-1110
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/19/2020
Last updated
11/19/2020
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