Individual
JAMES GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BCBA
Contact information
Practice address
3307 SUMMIT DR, BRIDGEWATER, MA 02324-2189
(319) 541-8180
Mailing address
3307 SUMMIT DR, BRIDGEWATER, MA 02324-2189
(319) 541-8180
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1547-MH-B1
MA
Other
Enumeration date
05/23/2017
Last updated
07/21/2022
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