Angelique Green

NPI #1992690275 in Avondale, Arizona

Provider Information

NPI Number: 1992690275
Entity Type: Individual
Name: Angelique Green
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Jun 9, 2025
Last Updated: Jun 9, 2025

Practice Location

Address: 1585 N 113TH AVE STE 102
City: Avondale
State: Arizona
ZIP Code: 85392-3938
Phone: (623) 259-9819

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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