Individual
JOSHUA E GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2721 W BELMONT AVE APT 1, CHICAGO, IL 60618-5914
(304) 228-7270
Mailing address
2721 W BELMONT AVE APT 1, CHICAGO, IL 60618-5914
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
103TM1800X
Intellectual & Developmental Disabilities Psychologist
—
—
Other
Enumeration date
12/10/2018
Last updated
12/10/2018
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