Green, Leslie Jean
Green, Leslie Jean is an individual health care provider with primary practice located at 13765 Vintage Dr Sw , Port Orchard WA 98367-7391. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Green, Leslie Jean can be contacted via phone (253) 970-2414.Contact Information
Primary practice address
13765 Vintage Dr Sw
Port Orchard WA 98367-7391
Phone: (253) 970-2414
Fax: (360) 207-3986
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X | BACB689271 | Washington |
Profile Details
| NPI number | 1457928426 |
|---|---|
| LBN Legal business name | Green, Leslie Jean |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 8th, 2021 |
| Last updated | Jun 8th, 2021 - about 3 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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