Individual
MR. JORDAN RAY PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LBA/BCBA
Contact information
Practice address
2353 BADGER STREET, FUNCTIONAL BEHAVIOR SERVICES, MARQUETTE, MI 49855-2303
(906) 273-1121
(906) 225-6706
Mailing address
2353 BADGER STREET, FUNCTIONAL BEHAVIOR SERVICES, MARQUETTE, MI 49855-2303
(906) 273-1121
(906) 225-6706
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
7401002227
MI
Other
Enumeration date
11/04/2022
Last updated
11/27/2023
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