Individual
AIDAN GREENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
505 N TUSTIN AVE, SANTA ANA, CA 92705-3779
(805) 283-7280
Mailing address
505 N TUSTIN AVE STE 152, SANTA ANA, CA 92705-3735
(805) 283-7280
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
CA
Other
Enumeration date
04/20/2021
Last updated
04/20/2021
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