John S Green
NPI #1932800851 in Clearlake, California
Provider Information
- NPI Number
- 1932800851
- Entity Type
- Individual
- Name
- John S Green
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Behavior Analyst
- Enumeration Date
- Mar 16, 2023
- Last Updated
- Mar 16, 2023
Practice Location
- Address
- 4456 MANZANITA AVE STE 2
- City
- Clearlake
- State
- California
- ZIP Code
- 95422-7200
- Phone
- (802) 487-9421
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Analyst |
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