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Camryn Porter

Behavior Technician in Los Angeles, CA. Individual provider (NPI-1).

NPI number1710694633
StatusActive
Last updated in NPPESOct 31, 2022

Details

NPI
1710694633
Entity type
Individual (NPI-1)
Name
Camryn Porter
Sex
Female
Sole proprietor
No
Enumeration date
Oct 31, 2022
Certification date
Oct 31, 2022
Last updated
Oct 31, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

4401 Crenshaw Blvd Ste 215
Los Angeles, CA 90043-1200

Phone 323-291-7100

Mailing address

4401 Crenshaw Blvd Ste 215
Los Angeles, CA 90043-1200

Phone 323-291-7100

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