Raven Porter, is a
Behavior Analyst based in Oakland, California. Raven Porter is licensed to practice in * (Not Available) (license number ) and her current practice location is
2747 76th Ave, Oakland, California. She can be reached at her office (for appointments etc.) via phone at
(510) 692-0084.
NPI number for Raven Porter is 1366910549 and her current mailing address is 2747 76th Ave, Oakland, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1366910549.
Healthcare Provider's Profile
| Full Name | Raven Porter |
|---|
| Gender | Female |
|---|
| Speciality | Behavior Analyst |
|---|
| Location | 2747 76th Ave, Oakland, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1366910549
- Provider Enumeration Date: 11/06/2018
- Last Update Date: 06/11/2019
Medical Identifiers
Medical identifiers for Raven Porter such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1366910549 | NPI | - | NPPES |
| F7939451 | Medicaid | CA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Raven Porter is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Raven Porter,
2747 76th Ave,
Oakland, CA 94605-2809
Ph: (510) 692-0084 | Raven Porter,
2747 76th Ave,
Oakland, CA 94605-2809
Ph: (510) 692-0084 |
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