Heather Green

NPI #1114703717 in La Mirada, California

Provider Information

NPI Number: 1114703717
Entity Type: Individual
Name: Heather Green
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Sep 7, 2023
Last Updated: Sep 7, 2023

Practice Location

Address: 14424 GARDENHILL DR
City: La Mirada
State: California
ZIP Code: 90638-2036
Phone: (951) 795-2727

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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