Individual
ALEC PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6339 CHARLOTTE PIKE # 696, NASHVILLE, TN 37209-2926
(407) 801-9924
Mailing address
1290 GAINESBORO GRADE APT F2, COOKEVILLE, TN 38501-0763
(731) 334-1379
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/20/2019
Last updated
09/20/2019
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