Provider Demographics
NPI:1750275913
Name:GREENE, BRIA ROZET (MHA, BCBA)
Entity type:Individual
Prefix:MRS
First Name:BRIA
Middle Name:ROZET
Last Name:GREENE
Suffix:
Gender:F
Credentials:MHA, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:127 DUSTIN DR
Mailing Address - Street 2:
Mailing Address - City:STOCKBRIDGE
Mailing Address - State:GA
Mailing Address - Zip Code:30281-7424
Mailing Address - Country:US
Mailing Address - Phone:770-557-4360
Mailing Address - Fax:770-557-4360
Practice Address - Street 1:2180 SATELLITE BLVD
Practice Address - Street 2:
Practice Address - City:DULUTH
Practice Address - State:GA
Practice Address - Zip Code:30097-4028
Practice Address - Country:US
Practice Address - Phone:404-645-5162
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-04
Last Update Date:2025-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst