Individual
LARON GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8912 W TROPHY WAY APT 104, MEMPHIS, TN 38125-2533
(901) 969-4400
Mailing address
8912 W TROPHY WAY APT 104, MEMPHIS, TN 38125-2533
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0000003292
TN
Other
Enumeration date
04/19/2016
Last updated
04/19/2016
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