Green, Dwayne
Green, Dwayne is an sole proprietor health care provider with primary practice located at 4800 N Federal Hwy Ste 101D , Boca Raton FL 33431-5178. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as his primary health care specialty. Green, Dwayne can be contacted via phone (561) 900-5504.Contact Information
Primary practice address
4800 N Federal Hwy Ste 101D
Boca Raton FL 33431-5178
Phone: (561) 900-5504
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X |
Profile Details
| NPI number | 1629597927 |
|---|---|
| LBN Legal business name | Green, Dwayne |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 18th, 2017 |
| Last updated | Sep 18th, 2017 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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