Individual
DONTHAN PORTER JR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5909 VICTORY POINT ST, NORTH LAS VEGAS, NV 89081-3024
(702) 789-8466
Mailing address
4920 SAPPHIRE LIGHT ST, N LAS VEGAS, NV 89081-3036
(702) 809-0576
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/31/2018
Last updated
07/31/2018
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