Porter, Regina Lyn
Porter, Regina Lyn is an individual health care provider with primary practice located at 1340 E 28Th St Apt C , Oakland CA 94606-3274. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Behavior Technician. Behavioral Health & Social Service Providers / Behavior Technician is her primary health care specialty. Porter, Regina Lyn can be contacted via phone (510) 881-6232.Contact Information
Primary practice address
1340 E 28Th St Apt C
Oakland CA 94606-3274
Phone: (510) 881-6232
Fax: (855) 703-1973
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Cognitive & Behavioral | 103TB0200X | California | |
Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X | California | |
Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X |
Profile Details
NPI number | 1295444974 |
---|---|
LBN Legal business name | Porter, Regina Lyn |
Credentials | BI |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 21st, 2022 |
Last updated | Jan 26th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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