Individual
ANDREW GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1301 E ORANGEWOOD AVE, ANAHEIM, CA 92805-6807
(800) 249-1266
Mailing address
704 BROADWAY STE 403, OAKLAND, CA 94607-6536
(210) 601-5406
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
11/09/2017
Last updated
03/17/2018
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