Individual
MRS. JESSICA NICOLE JOHNSON PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
2615 MEDICAL CENTER PKWY STE 1580A, MURFREESBORO, TN 37129-2261
(561) 895-4496
Mailing address
542 AMHERST ST STE B, NASHUA, NH 03063-1016
(844) 923-4222
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-21-48575
CO
103K00000X
Behavior Analyst
1-21-48575
—
103K00000X
Behavior Analyst
Primary
1553
TN
106E00000X
Assistant Behavior Analyst
0-20-11223
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0-20-11223
BACB CERTIFICATION
—
01
—
1-21-48575
BACB CERTIFICATION
SC
05
—
BB1074
—
SC
Enumeration date
07/24/2020
Last updated
07/01/2025
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