Individual
KAITLYN PORTERFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
937 HILLTOP DR, WEATHERFORD, TX 76086-5845
(817) 415-2759
(817) 458-9981
Mailing address
1317 BRIARWOOD DR, AZLE, TX 76020-5152
(682) 201-7490
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
3307
TX
Other
Enumeration date
04/10/2019
Last updated
03/05/2024
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