REAGAN PORTER

Behavior Technician

Active Individual
NPI: 1003680133

Practice Address

517 W TOWN CENTER BLVD
Champaign, IL 61822

Phone: (844) 263-1613

Specialties

Specialty Code Primary License
Behavior Technician 106S00000X Yes -

Frequently Asked Questions

NPI 1003680133 is the National Provider Identifier for REAGAN PORTER, a Behavior Technician provider located in Champaign, IL. This NPI was enumerated on November 9, 2023.
REAGAN PORTER practices at 517 W TOWN CENTER BLVD, Champaign, IL 61822.

Quick Facts

NPI
1003680133
Type
Individual
Enumerated
Nov 9, 2023
Last Updated
Nov 9, 2023

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