Individual
CAMERON CODY GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCBA
Contact information
Practice address
4840 VISTA BLVD STE 108, SPARKS, NV 89436-2850
(775) 354-1380
(775) 354-1474
Mailing address
PO BOX 50843, SPARKS, NV 89435-0843
(775) 354-1380
(775) 354-1474
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
LBA0125
NV
Other
Enumeration date
11/09/2017
Last updated
11/09/2017
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