Individual
JAMIE GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RBT, BS
Contact information
Practice address
1460 NW VIVION RD, KANSAS CITY, MO 64118-4555
(816) 853-0946
Mailing address
202 SKY VUE DR APT B, RAYMORE, MO 64083-8209
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-17-33414
MO
Other
Enumeration date
03/01/2018
Last updated
03/01/2018
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