Healthcare Provider Details

I. General information

NPI: 1225969967
Provider Name (Legal Business Name): LOVIE-AFI GREENE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/28/2026
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7 W SCIOTO ST
ORIENT OH
43146-9559
US

IV. Provider business mailing address

2309 VELMA AVE
COLUMBUS OH
43211-2072
US

V. Phone/Fax

Practice location:
  • Phone: 614-446-3199
  • Fax:
Mailing address:
  • Phone: 614-446-3199
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-25-460385
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: