Benjamin Porter
Behavior Technician in Colorado Springs, CO. Individual provider (NPI-1).
NPI number1295416907
StatusActive
Last updated in NPPESJul 26, 2023
Details
- NPI
- 1295416907
- Entity type
- Individual (NPI-1)
- Name
- Benjamin Porter
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 26, 2023
- Certification date
- Jul 26, 2023
- Last updated
- Jul 26, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
6197 Lehman DrSuite 102
Colorado Springs, CO 80918-3437
Phone 303-989-8169
Mailing address
6197 Lehman DrSuite 102
Colorado Springs, CO 80918-3437
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