Latrease N Green

NPI #1336445915 in Calumet City, Illinois

Provider Information

NPI Number: 1336445915
Entity Type: Individual
Name: Latrease N Green
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Analyst
Enumeration Date: Jan 31, 2011
Last Updated: Jan 31, 2011

Practice Location

Address: 858 BURNHAM AVE
City: Calumet City
State: Illinois
ZIP Code: 60409-4728
Phone: (708) 891-5429

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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