Tabitha S Green

NPI #1336781269 in Defuniak Springs, Florida

Provider Information

NPI Number
1336781269
Entity Type
Individual
Name
Tabitha S Green
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Behavior Technician
Enumeration Date
Oct 11, 2019
Last Updated
Oct 11, 2019

Practice Location

Address
40 STATE HIGHWAY 83
State
Florida
ZIP Code
32433-7404
Phone
(850) 585-9189

Specialties & Taxonomy Codes

Specialty
Behavior Technician

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