Most Relevant Information
Provider Data
| NPI Number: | 1003394347 |
| Provider Name: | NICOLE PORTER M.ED. BCBA |
| Entity Type: | Individual |
| Taxonomy Code: | 103K00000X |
| Specialty: | Behavior Analyst |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/30/2018 |
| Last Updated: | 01/30/2023 |
Provider Practice Location
9844 RESEARCH DR
IRVINE
CA
926184381
Practice Location Phone/Fax
| Phone: | 7608154771 |
| Fax: |
Provider Mailing Location
PO BOX 231831
ENCINITAS
CA
920231831
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |