Shani Porter, is a
Behavior Analyst based in Statesboro, Georgia. Shani Porter is licensed to practice in * (Not Available) (license number ) and her current practice location is
24 Joe Kennedy Blvd Ste 13, Statesboro, Georgia. She can be reached at her office (for appointments etc.) via phone at
(912) 208-2024.
NPI number for Shani Porter is 1164089504 and her current mailing address is 2805 S Industrial Hwy Ste 100, Ann Arbor, Michigan. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1164089504.
Healthcare Provider's Profile
| Full Name | Shani Porter |
|---|
| Gender | Female |
|---|
| Speciality | Behavior Analyst |
|---|
| Location | 24 Joe Kennedy Blvd Ste 13, Statesboro, Georgia |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1164089504
- Provider Enumeration Date: 05/21/2019
- Last Update Date: 09/13/2024
Medical Identifiers
Medical identifiers for Shani Porter such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1164089504 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 106S00000X | Behavior Technician | (* (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. Shani 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 |
|---|
Shani Porter,
2805 S Industrial Hwy Ste 100,
Ann Arbor, MI 48104-6791
Ph: () - | Shani Porter,
24 Joe Kennedy Blvd Ste 13,
Statesboro, GA 30458-3113
Ph: (912) 208-2024 |
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