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Contact Information

DAMARLO GREEN
524 DESERT SENNA AVE
NORTH LAS VEGAS, NV89030-4717
 Phone: 702-373-0545
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Behavior Analyst

103K00000X
 

Community Health Worker

172V00000X
 

Driver

172A00000X
 

Health & Wellness Coach

171400000X
Indicates primary specialty

NPI Profile & details for DAMARLO GREEN · (Male)

NPI # 1922770015
Status Active
Credentials
Entity Individual
Enumeration date 09/28/2021
Last updated 09/28/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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