Individual
JAVAR GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
QMHS
Contact information
Practice address
3725 HILDANA RD, SHAKER HEIGHTS, OH 44120-5005
(216) 417-0939
Mailing address
3725 HILDANA RD, SHAKER HEIGHTS, OH 44120-5005
(216) 417-0939
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/05/2024
Last updated
11/05/2024
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