Individual
GABRIELLE ALEXIS GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1230 LIBERTY BANK LN STE 330, LOUISVILLE, KY 40222-5756
(859) 207-3830
Mailing address
9705 LYRIC LN, LOUISVILLE, KY 40299-2717
(502) 612-2296
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/04/2025
Last updated
04/04/2025
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