Individual
ABRIANNA GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
18330 SW DELINE ST, BEAVERTON, OR 97078-3814
(312) 965-2997
Mailing address
2822 12TH AVE, FOREST GROVE, OR 97116-2664
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
ABA-B-10232911
OR
106S00000X
Behavior Technician
—
—
Other
Enumeration date
05/29/2019
Last updated
10/18/2024
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