Moira Elan Green

NPI #1336723725 in Ankeny, Iowa

Provider Information

NPI Number: 1336723725
Entity Type: Individual
Name: Moira Elan Green
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: May 11, 2021
Last Updated: May 11, 2021

Practice Location

Address: 1555 SE DELAWARE AVE STE O
City: Ankeny
State: Iowa
ZIP Code: 50021-4011
Phone: (515) 261-2401

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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