Individual
MRS. ASHLEY MERCER GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
171 CANAL BLVD, PONTE VEDRA BEACH, FL 32082-3607
(904) 834-7581
Mailing address
PO BOX 749, BELMONT, NC 28012-0749
(704) 869-2088
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-23-64266
FL
103K00000X
Behavior Analyst
1737
NC
106S00000X
Behavior Technician
—
—
Other
Enumeration date
08/16/2017
Last updated
06/24/2024
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