| NPI | 1326793175 |
|---|---|
| Former Name | TINA MARIE PORTER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 8183) |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst |
| Enumeration Date | 2022-02-18 |
| Last Update Date | 2025-08-20 |