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Kelcie Greene

Behavior Technician in Paragould, AR. Individual provider (NPI-1).

NPI number1497367643
StatusActive
Last updated in NPPESAug 19, 2020

Details

NPI
1497367643
Entity type
Individual (NPI-1)
Name
Kelcie Greene
Sex
Female
Sole proprietor
Yes
Enumeration date
Aug 19, 2020
Certification date
Aug 19, 2020
Last updated
Aug 19, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

4101 Angelus St
Paragould, AR 72450-2523

Phone 870-568-5195

Mailing address

4101 Angelus St
Paragould, AR 72450-2523

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