| NPI | 1871229054 |
|---|---|
| Former Name | RENITA GREEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2022-07-28 |
| Last Update Date | 2022-07-28 |