Individual
DALLAS GREENE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1899 TATE BLVD SE STE 2106, HICKORY, NC 28602-4200
(828) 358-0976
Mailing address
1899 TATE BLVD SE, HICKORY, NC 28602-4200
(828) 358-0976
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-25-84738
NC
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/16/2021
Last updated
03/10/2026
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