Individual
KRISTA GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 PROSPERITY DR, KNOXVILLE, TN 37923-4718
(855) 832-6727
Mailing address
7493 BROTHERTON MOUNTAIN RD, COOKEVILLE, TN 38506-8719
(615) 983-2460
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/29/2026
Last updated
07/29/2026
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