Edward Aric Green
Edward Aric Green is a Behavior Technician in Southlake, Texas. Practices as a sole proprietor. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
2104 Greenbriar DrSouthlake, TX 76092-8355
Phone: (000) 000-0000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X |
|---|
Record details
| NPI number | 1336872753 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | July 4, 2022 |
| Last updated in NPPES | July 4, 2022 |
| Certification date | July 4, 2022 |
| Mailing address | 7610 S Jeffery Blvd # 1e, Chicago, IL 60649-4016 |
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