Jennifer Lynn Green

NPI #1497211890 in Springfield, Illinois

Provider Information

NPI Number
1497211890
Entity Type
Individual
Name
Jennifer Lynn Green
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Behavior Technician
Enumeration Date
Feb 11, 2019
Last Updated
Feb 11, 2019

Practice Location

Address
5220 6TH STREET FRONTAGE RD E
ZIP Code
62703-5735
Phone
(217) 553-7899

Specialties & Taxonomy Codes

Specialty
Behavior Technician

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