Individual
HEATHER CAROL GREENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MED, BCBA, LBA
Contact information
Practice address
90 GLENDA TRCE STE F, NEWNAN, GA 30265-3889
(855) 832-6727
Mailing address
90 GLENDA TRCE STE F, NEWNAN, GA 30265-3889
(855) 832-6727
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-26-89018
GA
Other
Enumeration date
06/10/2026
Last updated
06/10/2026
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