Jordana Green
Behavior Technician in Emeryville, CA. Individual provider (NPI-1).
NPI number1295239010
StatusActive
Last updated in NPPESMar 19, 2018
Details
- NPI
- 1295239010
- Entity type
- Individual (NPI-1)
- Name
- Jordana Green
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 19, 2018
- Last updated
- Mar 19, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
2354 Powell St Ste AEmeryville, CA 94608-1738
Phone 510-652-7445
Mailing address
2354 Powell St Ste AEmeryville, CA 94608-1738
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