Individual
TAYLOR GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1961 NORTHPOINT BLVD, HIXSON, TN 37343-4556
(423) 498-9051
Mailing address
954 LOWER MILL RD, HIXSON, TN 37343-2890
(810) 922-9604
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/17/2022
Last updated
11/17/2022
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