Charles Levi Green

NPI #1154801421 in Spokane Valley, Washington

Provider Information

NPI Number: 1154801421
Entity Type: Individual
Name: Charles Levi Green
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Aug 16, 2018
Last Updated: Nov 4, 2025

Practice Location

Address: 16201 E INDIANA AVE STE 3400
City: Spokane Valley
State: Washington
ZIP Code: 99216-2830
Phone: (509) 900-3669

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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