Most Relevant Information
Provider Data
| NPI Number: | 1003505934 |
| Provider Name: | EMILY ELIZABETH GREEN |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/05/2023 |
| Last Updated: | 05/05/2023 |
Provider Practice Location
713 W COMMONWEALTH AVE STE C
FULLERTON
CA
928321612
Practice Location Phone/Fax
| Phone: | 7148794274 |
| Fax: |
Provider Mailing Location
2610 S ALMA ST
SAN PEDRO
CA
907315764
Provider Mailing Phone/Fax
| Phone: | 4243083659 |
| Fax: |