NPI 1912623505

Iesha Green

Practitioner Day Training/Habilitation Specialist Maplewood, NJ

Practice location

Address: 255 Tuscan Rd APT 107, Maplewood, NJ 07040-3087
Phone: (862) 271-5831

Registered specialties (5)

Day Training/Habilitation Specialist Primary

Nursing Service Related Providers Taxonomy 373H00000X

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Behavior Analyst

Behavioral Health & Social Service Providers Taxonomy 103K00000X

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Behavior Technician

Behavioral Health & Social Service Providers Taxonomy 106S00000X

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Health & Wellness Coach

Other Service Providers Taxonomy 171400000X

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Adult Companion

Nursing Service Related Providers Taxonomy 372600000X

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Registry record

NPI: 1912623505
Entity type: Individual
Sex (as registered): Female
NPI issued: 14 Oct 2022
Record last updated: 27 Oct 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.