Individual
AFTYNE D GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS BSL
Contact information
Practice address
703 BRUSH OAKS DRIVE, ALTOONA, PA 16602
(814) 650-0977
Mailing address
703 BRUSH OAKS DRIVE, ALTOONA, PA 16602
(814) 650-0977
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BH005361
PA
Other
Enumeration date
07/29/2024
Last updated
07/29/2024
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