Green, Lynn E

Green, Lynn E is an sole proprietor health care provider with primary practice located at 8300 Utica Ave Suite 259, Rancho Cucamonga CA 91730-3879. 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, Lynn E can be contacted via phone (909) 906-1508.

Contact Information

Primary practice address
8300 Utica Ave Suite 259 Rancho Cucamonga CA 91730-3879
Phone: (909) 906-1508
Fax: (909) 906-1508
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1144755760
LBN Legal business name Green, Lynn E
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 21st, 2017
Last updated Apr 21st, 2017 - about 7 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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Identifiers

StateTypeNumberIssuer
All States NPI 1144755760 NPPES
California Other EO IEHP,MOLINA, HEALTH NET, AETNA, BEACON, MAGELLAN

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