John S Green
John S Green is a Behavior Analyst in Clearlake, California. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
4456 Manzanita Ave Ste 2Clearlake, CA 95422-7200
Phone: (802) 487-9421
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Analyst (primary) | Taxonomy 103K00000X |
|---|
Record details
| NPI number | 1932800851 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | March 16, 2023 |
| Last updated in NPPES | March 16, 2023 |
| Certification date | March 16, 2023 |
| Mailing address | 456 S Harrison St, Fort Bragg, CA 95437-4935 |
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