Individual
BRIANA ALCANTARA GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
285 COUNTRY CLUB DR STE 300, STOCKBRIDGE, GA 30281-7355
(857) 576-5191
Mailing address
934 GARDEN WALK BLVD APT 1111, ATLANTA, GA 30349-8510
(347) 825-6284
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/11/2024
Last updated
04/11/2024
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