Individual
KRISTEN ELIZABETH GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, BCBA, LBS
Contact information
Practice address
4023 KENNETT PIKE # 988, WILMINGTON, DE 19807-2018
(484) 577-9928
Mailing address
3260 CHAMPIONS DR, WILMINGTON, DE 19808-2600
(215) 692-0926
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-22-58791
DE
Other
Enumeration date
05/03/2022
Last updated
05/03/2022
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