MISS Candice S Green

NPI #1578431029 in Mequon, Wisconsin

Provider Information

NPI Number: 1578431029
Entity Type: Individual
Name: MISS Candice S Green
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Analyst
Enumeration Date: Oct 27, 2025
Last Updated: Oct 27, 2025

Practice Location

Address: 6140 W EXECUTIVE DR STE B
City: Mequon
State: Wisconsin
ZIP Code: 53092-4499
Phone: (210) 317-7026

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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