Shannon Green

NPI #1972241750 in Lynchburg, Virginia

Provider Information

NPI Number: 1972241750
Entity Type: Individual
Name: Shannon Green
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: May 23, 2022
Last Updated: May 23, 2022

Practice Location

Address: 693 LEESVILLE RD
City: Lynchburg
State: Virginia
ZIP Code: 24502-2828
Phone: (434) 200-5750

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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