Micah Tonard Green, RBT

NPI #1003682311 in Gainesville, Florida

Provider Information

NPI Number: 1003682311
Entity Type: Individual
Name: Micah Tonard Green, RBT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Credential: RBT
Enumeration Date: Nov 28, 2023
Last Updated: Nov 28, 2023

Practice Location

Address: 4907 NW 43RD ST STE C
City: Gainesville
State: Florida
ZIP Code: 32606-2007
Phone: (352) 372-0047

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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