Individual
LATOYA GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6251 N BOUVIER ST, PHILADELPHIA, PA 19141-1429
(215) 704-8316
Mailing address
6251 N BOUVIER ST, PHILADELPHIA, PA 19141-1429
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/20/2026
Last updated
06/20/2026
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