| Jade Greene Bcba Llc | |
|
5332 Gathering Oaks Ct E Jacksonville FL 32258-3420 | |
| (904) 412-8542 | |
| Not Available |
| Full Name | Jade Greene Bcba Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 5332 Gathering Oaks Ct E, Jacksonville, Florida |
| Authorized Official Name and Position | Jade Greene (OWNER) |
| Authorized Official Contact | 9044128542 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jade Greene Bcba Llc 5332 Gathering Oaks Ct E Jacksonville FL 32258-3420 Ph: (904) 412-8542 | Jade Greene Bcba Llc 5332 Gathering Oaks Ct E Jacksonville FL 32258-3420 Ph: (904) 412-8542 |
| NPI Number | 1184277766 |
|---|---|
| Provider Enumeration Date | 07/22/2019 |
| Last Update Date | 07/22/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184277766 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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