Active NPIIndividual provider

Iesha Green

Day Training/Habilitation Specialist in Maplewood, New Jersey

NPI Number1912623505
Practice location
255 Tuscan RD Apt 107, Maplewood, NJ 07040-3087
Fax
—
Last updated
October 27, 2022

Iesha Green is a Day Training/Habilitation Specialist based in Maplewood, NJ. Iesha Green practices in Maplewood, NJ. The NPI Number for Iesha Green is 1912623505. The current practice location address for Iesha Green is 255 Tuscan RD Apt 107, Maplewood, NJ 07040-3087 and can be reached out via phone at 862-271-5831.

Provider Profile Details

NPI Number
1912623505
Provider Name
Iesha Green
Provider Entity Type
Individual
Gender
Female
Address
255 Tuscan RD Apt 107, Maplewood, NJ 07040-3087
Phone Number
862-271-5831
Primary Taxonomy
Day Training/Habilitation Specialist · 373H00000X
Sole Proprietor
No
Provider Enumeration Date
October 14, 2022
Last Update Date
October 27, 2022
Certification Date
October 27, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
255 Tuscan RD Apt 107
Maplewood, NJ 07040-3087
Zip
07040-3087
Phone Number
862-271-5831
Maplewood, NJ 07040Get directions →

Provider Business Mailing Address Details

Address
255 Tuscan RD Apt 107
Maplewood, NJ 07040-3087
City
Maplewood
State
NJ
Zip
07040-3087
Phone Number
862-271-5831

License Information

Taxonomy (1)
Behavior Analyst · 103K00000X
Taxonomy (2)
Behavior Technician · 106S00000X
Taxonomy (3)
Health & Wellness Coach · 171400000X
Taxonomy (4)
Adult Companion · 372600000X
Taxonomy (5)
Day Training/Habilitation Specialist · 373H00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Iesha Green?

The NPI number of Iesha Green is 1912623505. It was assigned on October 14, 2022 and is currently active in the NPPES registry.

What is the specialty of Iesha Green?

Iesha Green is registered under the primary taxonomy Day Training/Habilitation Specialist (code 373H00000X).

Where does Iesha Green practice?

The practice location is 255 Tuscan RD Apt 107, Maplewood, NJ 07040-3087. The office can be reached at 862-271-5831 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1912623505 directly on the NPPES registry website.

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