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Individual

PORTIA H CULP

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
4435 SALT LAKE BLVD, HONOLULU, HI 96818-3125
(843) 476-5432
Mailing address
4200 W CYPRESS ST, TAMPA, FL 33607-4156
(866) 468-6471

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
HI
106S00000X
Behavior Technician

Other

Enumeration date
05/02/2024
Last updated
02/21/2025
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