Individual provider · NPI-1
Ciara Green
Behavior Technician · Farmington Hills, MI
NPI number1053822957
StatusActive
Last updated in NPPESApr 14, 2025
Details
- NPI
- 1053822957
- Entity type
- Individual (NPI-1)
- Name
- Ciara Green
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 18, 2017
- Certification date
- Apr 14, 2025
- Last updated
- Apr 14, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
| 172V00000X | Community Health Worker | – | – |
Practice location
27777 Inkster RdFarmington Hills, MI 48334-5310
Phone 248-436-6561
Mailing address
27777 Inkster RdFarmington Hills, MI 48334-5310
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