Individual
JASMINE ELIZABETH GREENE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
B.A.
Contact information
Practice address
1000 EDDY ST, SUITE K, PROVIDENCE, RI 02905-4739
(401) 533-9100
Mailing address
735 WHALEY HOLLOW RD, COVENTRY, RI 02816-4629
(401) 749-9996
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
103K00000X
RI
Other
Enumeration date
06/06/2011
Last updated
09/05/2013
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