Individual
AMANDA L GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 BARBARA LN, JERICHO, NY 11753-2600
(516) 512-3898
Mailing address
802 MITCHEL FIELD WAY, GARDEN CITY, NY 11530-5060
(512) 512-3898
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/31/2024
Last updated
10/31/2024
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