Bernita Green

NPI #1316423916 in Port Wentworth, Georgia

Provider Information

NPI Number: 1316423916
Entity Type: Individual
Name: Bernita Green
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jul 17, 2018
Last Updated: Jul 17, 2018

Practice Location

Address: 20 AMBER DR
City: Port Wentworth
State: Georgia
ZIP Code: 31407-5615
Phone: (912) 660-6219

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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