Individual
AMYA GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2040 PARK AVE, EUNICE, LA 70535-4238
(337) 200-0770
Mailing address
2040 PARK AVE, EUNICE, LA 70535-4238
(337) 200-0770
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
011941796
LA
Other
Enumeration date
05/18/2026
Last updated
05/18/2026
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