Individual
DEVON GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
317 KANE AVE, LAS VEGAS, NV 89110-3536
(725) 242-6454
Mailing address
317 KANE AVE, LAS VEGAS, NV 89110-3536
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/06/2022
Last updated
05/06/2022
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