Individual
LAUREN GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10221 FORD AVE STE 1, RICHMOND HILL, GA 31324-0259
(912) 445-6063
(912) 445-6064
Mailing address
10221 FORD AVE STE 1, RICHMOND HILL, GA 31324-0259
(912) 445-6063
(912) 445-6064
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-15-20744
—
Other
Enumeration date
10/19/2015
Last updated
06/11/2020
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