Individual
LACEY DIANA GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
5500 CHEROKEE AVE STE 120, ALEXANDRIA, VA 22312-2321
(844) 854-1116
Mailing address
1500 S DOUGLAS RD STE 230, CORAL GABLES, FL 33134-4108
(844) 244-1818
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-21-191410
—
Other
Enumeration date
11/05/2021
Last updated
04/14/2026
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