Jacqueline Green, MA

NPI #1598116204 in Madison Heights, Michigan

Provider Information

NPI Number: 1598116204
Entity Type: Individual
Name: Jacqueline Green, MA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Psychologist
Credential: MA
Enumeration Date: Jun 23, 2016
Last Updated: Oct 9, 2024

Practice Location

Address: 30821 BARRINGTON ST
City: Madison Heights
State: Michigan
ZIP Code: 48071-1871
Phone: (248) 965-3916

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary
Behavior Technician	106S00000X
Technician, Other	247200000X
Behavior Analyst	103K00000X

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