Individual
MRS. RANDEE LEE GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
7 REGENT ST STE 708, LIVINGSTON, NJ 07039-1628
(551) 237-4646
(201) 603-1810
Mailing address
14 TOMAHAWK TRL, WANTAGE, NJ 07461-1439
(973) 997-7823
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-55754
NJ
Other
Enumeration date
11/22/2021
Last updated
11/22/2021
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