Chevaughn Ronee Green

NPI #1740720416 in Upland, California

Provider Information

NPI Number: 1740720416
Entity Type: Individual
Name: Chevaughn Ronee Green
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Mar 1, 2017
Last Updated: Mar 1, 2017

Practice Location

Address: 428 ALPINE ST
Address 2: #109
City: Upland
State: California
ZIP Code: 91786-7718
Phone: (909) 362-4793

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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