Malika Christine Green
Behavior Technician in Dearborn, MI. Individual provider (NPI-1).
NPI number1669102471
StatusActive
Last updated in NPPESJun 14, 2022
Details
- NPI
- 1669102471
- Entity type
- Individual (NPI-1)
- Name
- Malika Christine Green
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 14, 2022
- Certification date
- Jun 14, 2022
- Last updated
- Jun 14, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
1360 Porter StDearborn, MI 48124-2890
Phone 313-689-5188
Mailing address
1360 Porter StDearborn, MI 48124-2890
Phone 313-689-5188
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