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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 3 years ago

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.

Request for update

Popular Providers