Amanda M Green

NPI #1700545365 in Cedar Springs, Michigan

Provider Information

NPI Number: 1700545365
Entity Type: Individual
Name: Amanda M Green
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Dec 10, 2021
Last Updated: Dec 10, 2021

Practice Location

Address: 421 PIONEER TRL
City: Cedar Springs
State: Michigan
ZIP Code: 49319-8136
Phone: (616) 251-8162

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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