Individual
MATTHEW GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCBA
Contact information
Practice address
6 CHENELL DR STE 150, CONCORD, NH 03301-8505
(603) 224-8085
(603) 225-7441
Mailing address
6 CHENELL DR STE 150, CONCORD, NH 03301-8505
(603) 224-8085
(603) 225-7441
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-19-37397
NH
Other
Enumeration date
09/30/2019
Last updated
09/30/2019
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