Charlean L Green
Behavior Technician in Las Vegas, NV. Individual provider (NPI-1).
NPI number1982140984
StatusActive
Last updated in NPPESJan 13, 2017
Details
- NPI
- 1982140984
- Entity type
- Individual (NPI-1)
- Name
- Ms. Charlean L Green
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 13, 2017
- Last updated
- Jan 13, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
2032 Jesse Scott StLas Vegas, NV 89106-2159
Phone 702-577-7391 · Fax 888-463-4927
Mailing address
2032 Jesse Scott StLas Vegas, NV 89106-2159
Phone 702-577-7391 · Fax 888-463-4927
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