Most Relevant Information
Provider Data
| NPI Number: | 1003689787 |
| Provider Name: | PORCHIA DAUGHTRY |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: | 8090712 |
Most Important Dates
| Enumeration Date: | 11/03/2023 |
| Last Updated: | 11/03/2023 |
Provider Practice Location
5900 WARM SPRINGS RD STE J
COLUMBUS
GA
319094597
Practice Location Phone/Fax
| Phone: | 7182155311 |
| Fax: | 7188655165 |
Provider Mailing Location
5900 WARM SPRINGS RD STE J
COLUMBUS
GA
319094597
Provider Mailing Phone/Fax
| Phone: | 7182155311 |
| Fax: | 7188655165 |