Individual
BRYANNA DESTINAE GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
97 PROSPECT ST, PARAMUS, NJ 07652-4322
(201) 925-4116
Mailing address
97 PROSPECT ST, PARAMUS, NJ 07652-4322
(201) 925-4116
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
03/20/2026
Last updated
03/20/2026
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