Shani Porter

Behavior Analyst · Statesboro, GA

Individual Active NPI

NPI number 1164089504

Practice location

24 Joe Kennedy Blvd Ste 13
Statesboro, GA 30458-3113
Phone
(912) 208-2024

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NPI record

NPI
1164089504
Entity type
Individual (Type 1)
Enumeration date
May 21, 2019
Last updated
September 13, 2024
Certified
September 13, 2024
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Behavior Analyst Primary 103K00000X — —
Mental Health Counselor 101YM0800X — —
Behavior Technician 106S00000X — —

Mailing address

2805 S Industrial Hwy Ste 100
Ann Arbor, MI 48104-6791

Other practice locations (2)

  • 247 S Stone St, Deland, FL 32720-5233 · (407) 669-5363
  • 4620 N State Road 7 Ste 300, Lauderdale Lakes, FL 33319-5867 · (407) 669-5363

About Shani Porter

Shani Porter is a healthcare provider registered in the NPI registry with the primary taxonomy Behavior Analyst (code 103K00000X). The practice location is 24 Joe Kennedy Blvd Ste 13, Statesboro, GA 30458-3113. The NPI number 1164089504 was assigned on May 21, 2019 and the record was last updated on September 13, 2024.

Frequently asked questions

What is the NPI number of Shani Porter?

The NPI number is 1164089504.

What is the phone number of Shani Porter?

The phone number listed for the practice location is (912) 208-2024.

Where is Shani Porter located?

24 Joe Kennedy Blvd Ste 13, Statesboro, GA 30458-3113.

What is the taxonomy code for Shani Porter?

The primary taxonomy code is 103K00000X – Behavior Analyst; 2 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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