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Organization
GREEN PATHWAY
Active
Organization
GREEN PATHWAY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANNTANISHA GREEN (OWNER)
(661) 349-3799
Entity
Organization
Contact information
Practice address
3550 W CHEYENNE AVE STE 100, NORTH LAS VEGAS, NV 89032-8252
(661) 349-3799
Mailing address
3550 W CHEYENNE AVE STE 100, NORTH LAS VEGAS, NV 89032-8252
(661) 349-3799
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
08/31/2026
Last updated
08/31/2026
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