Individual
NICHOLAS RYAN GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCBA
Contact information
Practice address
9929 E 126TH ST, FISHERS, IN 46038-9404
(317) 436-8961
(317) 436-8966
Mailing address
9929 E 126TH ST, FISHERS, IN 46038-9404
(317) 436-8961
(317) 436-8966
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0-13-5325
—
Other
Enumeration date
04/23/2013
Last updated
04/23/2013
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