Individual
CANDI F GREENE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
203 S ELMER AVE, SAYRE, PA 18840-2019
(570) 890-9487
Mailing address
4969 MILE LANE RD, SAYRE, PA 18840-9461
(716) 499-3754
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/31/2023
Last updated
10/31/2023
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