Miyona Lanette Green
Behavior Technician in Ashburn, VA. Individual provider (NPI-1).
NPI number1164048559
StatusActive
Last updated in NPPESJun 22, 2020
Details
- NPI
- 1164048559
- Entity type
- Individual (NPI-1)
- Name
- Miyona Lanette Green
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 22, 2020
- Certification date
- Jun 22, 2020
- Last updated
- Jun 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
44933 George Washington Blvd Ste 110Ashburn, VA 20147-6301
Phone 844-244-1818
Mailing address
1500 S Douglas Rd Ste 230Coral Gables, FL 33134-4108
Phone 844-854-1116 · Fax 305-846-9711
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