Lacey Diana Green, RBT

NPI #1225793094 in Lorton, Virginia

Provider Information

NPI Number
1225793094
Entity Type
Individual
Name
Lacey Diana Green, RBT
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Behavior Technician
Credential
RBT
Enumeration Date
Nov 5, 2021
Last Updated
Jan 23, 2025

Practice Location

Address
8530 CINDER BED RD STE 1300
City
Lorton
ZIP Code
22079-1478
Phone
(703) 782-5047

Specialties & Taxonomy Codes

Specialty
Behavior Technician

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