Individual
JAZMINE GREENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300 SAINT ANDREWS RD STE 407, SAGINAW, MI 48638-5977
(989) 341-3653
Mailing address
PO BOX 663, LAKELAND, MI 48143-0663
(734) 203-0181
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
247200000X
Other Technician
—
—
Other
Enumeration date
09/01/2016
Last updated
05/17/2024
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