Individual
ELISABETH GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
600 N LOOP 1604 E, SAN ANTONIO, TX 78232-1268
(210) 239-0066
Mailing address
57 QUEEN ANNS LACE, ABILENE, TX 79606-5479
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-24-71201
TX
106S00000X
Behavior Technician
—
—
Other
Enumeration date
09/14/2021
Last updated
04/01/2024
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