MRS. Lacresha Green

NPI #1174321442 in Lake Mary, Florida

Provider Information

NPI Number: 1174321442
Entity Type: Individual
Name: MRS. Lacresha Green
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Mar 4, 2025
Last Updated: Mar 4, 2025

Practice Location

Address: 200 WAYMONT CT STE 122
City: Lake Mary
State: Florida
ZIP Code: 32746-3413
Phone: (407) 890-8883

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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