Individual
ANGELA LYNETTE GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
209 CENTRE SARCELLE BLVD STE 201, YOUNGSVILLE, LA 70592-6755
(337) 857-3674
Mailing address
815 HECTOR CONNOLY RD, CARENCRO, LA 70520-6306
(210) 219-8620
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/04/2026
Last updated
03/04/2026
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