Individual
MELISSA ANN BIRKETT GREENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2030 TAYLOR RD, CENTRAL POINT, OR 97502-1762
(541) 727-1592
Mailing address
7866 E RIDGE POINTE DR, FAYETTEVILLE, NY 13066-9515
(413) 519-3565
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
OR
Other
Enumeration date
08/17/2020
Last updated
09/12/2022
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