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Individual

MISS VICTORIA GREEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
6900 ROSWELL RD APT B5, ATLANTA, GA 30328-2264
(678) 983-5718
Mailing address
542 AMHERST ST STE B, NASHUA, NH 03063-1016

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-24-71882
GA
106S00000X
Behavior Technician

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
U9155173503
AMBETTER
GA
Enumeration date
04/08/2020
Last updated
11/24/2025
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