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Dymond Green

Behavior Technician in Bridgeport, CT. Individual provider (NPI-1).

NPI number1093675845
StatusActive
Last updated in NPPESNov 14, 2025

Details

NPI
1093675845
Entity type
Individual (NPI-1)
Name
Dymond Green
Sex
Female
Sole proprietor
No
Enumeration date
Nov 14, 2025
Certification date
Nov 14, 2025
Last updated
Nov 14, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician–CTYes

Practice location

458 Pequonnock St
Bridgeport, CT 06604-2612

Phone 203-433-7440

Mailing address

458 Pequonnock St
Bridgeport, CT 06604-2612

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