Individual
SHANA GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
260 HOMESTEAD ESTATES LN, TUTOR KEY, KY 41263-8748
(606) 369-2579
Mailing address
260 HOMESTEAD ESTATES LN, TUTOR KEY, KY 41263-8748
(606) 369-2579
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-26-87228
KY
Other
Enumeration date
03/06/2026
Last updated
03/11/2026
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