Individual
TANIJAH GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
119 GREENWOOD DR, RIDGEVILLE, SC 29472-9111
(843) 830-2771
Mailing address
119 GREENWOOD DR, RIDGEVILLE, SC 29472-9111
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
11/17/2025
Last updated
11/17/2025
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