Individual
BREANNA GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1446 ETHAN WAY STE 100, SACRAMENTO, CA 95825-2235
(209) 342-7353
Mailing address
730 SUNRISE AVE, ROSEVILLE, CA 95661-4567
(916) 500-3932
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
2355S0801X
Speech-Language Assistant
Primary
8427
CA
Other
Enumeration date
06/08/2022
Last updated
07/07/2026
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