Individual
AMY GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
120 W DUNBAR CAVE RD STE AB, CLARKSVILLE, TN 37040-6774
(931) 538-3252
Mailing address
1024 DUBLIN DR, CLARKSVILLE, TN 37042-2820
(860) 248-5282
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
BACB1336016
TN
Other
Enumeration date
08/29/2025
Last updated
08/29/2025
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