Jhon William Porras Salgado Sr.
Behavior Technician in Stuart, FL. Individual provider (NPI-1).
NPI number1639770902
StatusActive
Last updated in NPPESAug 30, 2022
Details
- NPI
- 1639770902
- Entity type
- Individual (NPI-1)
- Name
- Mr. Jhon William Porras Salgado Sr.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Nov 3, 2020
- Certification date
- Aug 30, 2022
- Last updated
- Aug 30, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | RBT-20-141921 | FL | Yes |
Practice location
2957 Se Orchid StStuart, FL 34997-7831
Phone 561-452-5663
Mailing address
2957 Se Orchid StStuart, FL 34997-7831
Phone 561-452-5663
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