Individual
ANGELA GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
280 STAFFORD RD, PRINCE FREDERICK, MD 20678-3582
(410) 535-3079
(410) 535-2220
Mailing address
PO BOX 980, PRINCE FREDERICK, MD 20678-0980
(410) 535-3079
(410) 535-2220
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
106S00000X
Behavior Technician
Primary
22-226648
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22-226648
RBT
MD
Enumeration date
08/02/2022
Last updated
03/19/2026
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