Organization
GREEN BEHAVIORAL SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER GREEN (BCBA, OWNER)
(769) 226-6232
Entity
Organization
Contact information
Practice address
7 LAKELAND CIR STE 600, JACKSON, MS 39216-5025
(769) 226-6232
Mailing address
PO BOX 59053, JACKSON, MS 39284-9053
(769) 226-6232
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
11/14/2021
Last updated
01/27/2022
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