Individual
ADANNA GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
3814 12TH ST NE, WASHINGTON, DC 20017-2630
(571) 263-1007
Mailing address
17820 MINE RD, DUMFRIES, VA 22026-2308
(571) 263-1007
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
B66195691
KAISER
VA
Enumeration date
03/23/2018
Last updated
03/23/2018
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