Individual
DYMOND GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
458 PEQUONNOCK ST, BRIDGEPORT, CT 06604-2612
(203) 433-7440
Mailing address
458 PEQUONNOCK ST, BRIDGEPORT, CT 06604-2612
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
CT
Other
Enumeration date
11/14/2025
Last updated
11/14/2025
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