Greene, Jade S
Greene, Jade S is an individual health care provider with primary practice located at 1700 Wells Rd Ste 15 , Orange Park FL 32073-2374. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Greene, Jade S can be contacted via phone (904) 412-8542.Contact Information
Primary practice address
1700 Wells Rd Ste 15
Orange Park FL 32073-2374
Phone: (904) 412-8542
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X |
Profile Details
| NPI number | 1356745012 |
|---|---|
| LBN Legal business name | Greene, Jade S |
| Credentials | BCBA |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 9th, 2014 |
| Last updated | Jan 4th, 2023 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1356745012 | NPPES |
| Florida | MEDICAID | 115284100 |
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