CHARLES FREDRICK PORTER
NPI 1699467175
Behavior Technician in Glendale, AZ

Active since May 23, 2023
4480 W PEORIA AVE, GLENDALE, AZ 85302(702) 807-8670 Get Directions Write a Review

NPPES record last updated: May 23, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Charles Fredrick Porter NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHARLES FREDRICK PORTER (NPI 1699467175) is an individual behavior technician in Glendale, Arizona and active in the NPI registry since May 2023.

NPPES Registry Identity

NPI1699467175
Entity TypeIndividualMale
Primary Taxonomy106S00000X
Provider Legal NameCHARLES FREDRICK PORTER
Location Address4480 W PEORIA AVEGlendale, AZ 85302-2038
Mailing Address8232 Ocean Terrace WayLas Vegas, NV 89128-7457 · (602) 400-0231
Sole ProprietorYes
Enumeration DateMay 23, 2023
NPPES CertifiedFebruary 9, 2023
NPI 1699467175 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyBehavior TechnicianBehavioral Health & Social Service Providers
Taxonomy Code106S00000X
Definition
The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.
4480 W PEORIA AVE, Glendale, AZ 85302

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Community/Behavioral Health
4480 W PEORIA AVE
GLENDALE, AZ 85302
Clinic/Center (Mental Health (Including Community Mental Health Center))
4480 W PEORIA AVE
GLENDALE, AZ 85302

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Charles Porter's NPI number?

The NPI number for Charles Porter is 1699467175. It was assigned to this individual provider in the NPPES registry on May 23, 2023.

Where is Charles Porter located?

Charles Porter practices at 4480 W Peoria Ave, Glendale, AZ 85302. The listed phone number is (702) 807-8670.

What is Charles Porter's specialty?

The primary specialty registered for this NPI is Behavior Technician with taxonomy code 106S00000X.

When was this NPI record last updated?

The NPPES record for Charles Porter was last updated on May 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.