Dominic Green
Dominic Green is a Behavior Technician in Capitol Heights, Maryland. Practices as a sole proprietor. Registered with an NPI since 2023.
- In the registry since
- 2023
- Specialties on file
- 2
Practice location Address checks out
4728 Quadrant StCapitol Heights, MD 20743-5266
Phone: (240) 781-9659
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Case Manager/Care Coordinator (primary) | Taxonomy 171M00000X |
|---|---|
| Behavior Technician | Taxonomy 106S00000X |
Record details
| NPI number | 1922708866 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | March 8, 2023 |
| Last updated in NPPES | April 17, 2023 |
| Certification date | April 17, 2023 |
| Mailing address | 4728 Quadrant St, Capitol Heights, MD 20743-5266 |
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