Provider Demographics
NPI:1922511666
Name:GREENE, KARLI E (MS ED, BCBA)
Entity Type:Individual
Prefix:MRS
First Name:KARLI
Middle Name:E
Last Name:GREENE
Suffix:
Gender:F
Credentials:MS ED, BCBA
Other - Prefix:MISS
Other - First Name:KARLI
Other - Middle Name:
Other - Last Name:SHILL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:27 BEECHSTONE APT 4
Mailing Address - Street 2:
Mailing Address - City:PORTSMOUTH
Mailing Address - State:NH
Mailing Address - Zip Code:03801-6327
Mailing Address - Country:US
Mailing Address - Phone:949-861-1688
Mailing Address - Fax:
Practice Address - Street 1:373 S WILLOW ST STE 266
Practice Address - Street 2:
Practice Address - City:MANCHESTER
Practice Address - State:NH
Practice Address - Zip Code:03103-5751
Practice Address - Country:US
Practice Address - Phone:877-315-8080
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-11-15
Last Update Date:2024-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst