Desiree Green

NPI #1497537047 in Eatonton, Georgia

Provider Information

NPI Number
1497537047
Entity Type
Individual
Name
Desiree Green
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Behavior Technician
Enumeration Date
Oct 18, 2023
Last Updated
Oct 18, 2023

Practice Location

Address
257 MARTIN LUTHER KING JR DR
State
Georgia
ZIP Code
31024-8033
Phone
(609) 792-0013

Specialties & Taxonomy Codes

Specialty
Behavior Technician

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