Individual
RANDALL GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
425 JULIANA ST, PARKERSBURG, WV 26101-5352
(304) 893-9777
Mailing address
3091 PROGRESS RIDGE RD, WALKER, WV 26180-3444
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/09/2025
Last updated
04/09/2025
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