Individual
ENDEYA MONET PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
621 GRAHAM ST APT 8, FORREST CITY, AR 72335-2342
(810) 835-8860
Mailing address
621 GRAHAM ST APT 8, FORREST CITY, AR 72335-2342
(810) 835-8860
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
04/13/2022
Last updated
04/13/2022
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