Individual
MISS CANDICE S GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6140 W EXECUTIVE DR STE B, MEQUON, WI 53092-4499
(210) 317-7026
Mailing address
W168N9104 FALLS AVE, MENOMONEE FALLS, WI 53051-2112
(210) 317-7026
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
10/27/2025
Last updated
10/27/2025
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