Individual
JULIEN DONNELL GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
401 W BASIC RD APT B, HENDERSON, NV 89015-7080
(702) 927-9018
Mailing address
401 BASIC RD APT B, HENDERSON, NV 89015
(702) 927-9018
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
08/31/2012
Last updated
08/31/2012
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