Individual
MELODY GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
18521 E QUEEN CREEK RD, QUEEN CREEK, AZ 85142-5866
(480) 361-1025
Mailing address
18521 E QUEEN CREEK RD, QUEEN CREEK, AZ 85142-5866
(480) 361-1025
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT24341559
AZ
Other
Enumeration date
04/23/2024
Last updated
04/23/2024
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