Individual
JESSICA ANN GREENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
3255 LAS PALMAS ST APT 544, HOUSTON, TX 77027-5779
(818) 683-4297
Mailing address
3255 LAS PALMAS ST APT 544, HOUSTON, TX 77027-5779
(818) 683-4297
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-20-43626
CA
106S00000X
Behavior Technician
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—
Other
Enumeration date
10/18/2019
Last updated
06/01/2022
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