Individual
ALANA GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9844 RESEARCH DR STE 100, IRVINE, CA 92618-4381
(760) 815-5815
Mailing address
2 SAN SOLANO, RANCHO SANTA MARGARITA, CA 92688-3175
(949) 943-9180
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1891330
EASTER SEALS
CA
Enumeration date
10/05/2021
Last updated
10/05/2021
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