Dejanara Por

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

8 Faneuil Hall Marketplace FL 3
Boston, MA 02109-6114

Phone

(617) 863-9090

NPI assigned

Oct 11, 2021

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1633910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633910400000",
    "number": "1194487728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 TERSOLO RD",
            "city": "HAVERHILL",
            "state": "MA",
            "postal_code": "018328629",
            "telephone_number": "978-476-1980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 FANEUIL HALL MARKETPLACE FL 3",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021096114",
            "telephone_number": "617-863-9090"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25 Tersolo Rd",
            "address_purpose": "LOCATION",
            "city": "Haverhill",
            "state": "MA",
            "postal_code": "018328629",
            "country_code": "US",
            "telephone_number": "978-476-1980",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POR",
        "first_name": "DEJANARA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-11",
        "last_updated": "2021-10-11",
        "certification_date": "2021-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Popma, M.D.
• Aleksandra Popovic
• Kristyn Popowski, PA-C
• Nicholas Anthony Popp, MD, PHD
• Sabrina M Popp, M.D.
• Nicole Porcaro, LMHC
• Robert Porcaro, OD
• Arlyce Porcher
• Diego Porras Ingouville, MD
• Jenna Jordan Port

• Behavior Technician in Boston, MA
• Providers in Boston, MA by specialty
• Behavior Technician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.