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Individual

AALIYAH L GREEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
32326 CLINTON KEITH RD STE 201, WILDOMAR, CA 92595-7317
(858) 264-5858
(858) 649-6012
Mailing address
32930 FORGECROFT ST, MENIFEE, CA 92584-2916

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-25-434045
CA

Other

Enumeration date
05/21/2025
Last updated
05/21/2025
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