Individual
MR. THOMAS R GREEN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2704 STONEWICK CT, JAMESTOWN, NC 27282-8517
(252) 883-8682
Mailing address
2704 STONEWICK CT, JAMESTOWN, NC 27282-8517
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
10/11/2021
Last updated
10/11/2021
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