Jayla Green
Jayla Green is a Behavior Technician in Fort Wayne, Indiana. Licensed in Indiana. Registered with an NPI since 2023.
- Licensed in
- IN
- In the registry since
- 2023
Practice location Address checks out
4422 E State BlvdFort Wayne, IN 46815-6917
Phone: (260) 471-9263
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X · Licence RBT-23-254661 (IN) |
|---|
Record details
| NPI number | 1144914284 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | June 2, 2023 |
| Last updated in NPPES | June 2, 2023 |
| Certification date | June 2, 2023 |
| Mailing address | 3500 Depauw Blvd Ste 3070, Indianapolis, IN 46268-6135 |
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Nichol Greathouse
4422 E State Blvd, Fort Wayne, IN 46815-6917 · (260) 471-9263
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Janisha Green, RBT
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