Mia Green

NPI #1780164046 in Belleview, Florida

Provider Information

NPI Number: 1780164046
Entity Type: Individual
Name: Mia Green
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Analyst
Enumeration Date: Aug 16, 2018
Last Updated: Sep 25, 2023

Practice Location

Address: 4611 SE 100TH PL
City: Belleview
State: Florida
ZIP Code: 34420-3013
Phone: (352) 559-2539

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X
Behavior Analyst	103K00000X	Primary

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