Individual
KRISTEN GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
604 W MOANA LN, RENO, NV 89509-4903
(775) 682-8687
Mailing address
1664 N VIRGINIA ST # MS 296, RENO, NV 89557-0001
(775) 682-8686
(775) 784-1126
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-15-08680
NV
Other
Enumeration date
05/30/2018
Last updated
05/30/2018
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