JACK PORRAS
Behavior Technician
Active
Individual
NPI: 1114590940
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Behavior Technician | 106S00000X | Yes | - |
Frequently Asked Questions
NPI 1114590940 is the National Provider Identifier for JACK PORRAS, a Behavior Technician provider located in Glendale, CA. This NPI was enumerated on July 20, 2021.
JACK PORRAS practices at 741 GLENVIA ST STE 102200, Glendale, CA 91206.
Quick Facts
- NPI
- 1114590940
- Type
- Individual
- Enumerated
- Jul 20, 2021
- Last Updated
- Jul 20, 2021
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