Individual
EMILY GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
6671 LAS VEGAS BLVD S STE 210, LAS VEGAS, NV 89119-3273
(310) 406-1500
Mailing address
6671 LAS VEGAS BLVD S STE 210, LAS VEGAS, NV 89119-3273
(310) 406-1500
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05
—
NV
Enumeration date
09/07/2021
Last updated
09/07/2021
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