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General NPI Number Information
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NPI Number | 1811853708
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Entity Type | Individual
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Provider Name | TOREYA GREEN RBT
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Gender | Female
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Dates
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Enumeration Date | 01/05/2026
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Last Update Date | 01/05/2026
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Provider Practice Location Address
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Address Line | 400 TOWN PARK BLVD STE 400
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City | EVANS
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State | GA
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Zip | 30809-3515
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Country | US
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Telephone | 706-921-3092
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Fax | 706-921-3024
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Provider Business Mailing Address
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Address Line | 10175 FORTUNE PKWY UNIT 903
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City | JACKSONVILLE
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State | FL
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Zip | 32256-6755
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Country | US
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Telephone | 904-538-0713
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Fax | 904-538-0714
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number | RBT-25-504184
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License Number State | GA
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