Kole Timothy Green
Kole Timothy Green is a Behavior Technician in San Diego, California. Practices as a sole proprietor. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
501 W Broadway Ste 800San Diego, CA 92101-3546
Phone: (855) 832-6727
Fax: (772) 675-9100
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Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X |
|---|
Record details
| NPI number | 1861134959 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | April 10, 2022 |
| Last updated in NPPES | April 10, 2022 |
| Certification date | April 10, 2022 |
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