Taylor Green

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

12473826 Issued in IA

Practice address

3297 Armar Dr
Marion, IA 52302-4748

Phone

(574) 387-4313

Fax

(574) 204-2868

NPI assigned

Sep 6, 2024

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Vav Operations Ia LLC

  • Community/Behavioral Health Agency
  • Davenport, IA
  • NPI 1194439661

  Behavior Analyst

  NPD (past)
• Vav Operations LLC

  • Community/Behavioral Health Agency
  • South Bend, IN
  • NPI 1942576905

  Behavior Analyst

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1725580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725580800000",
    "number": "1033944269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 RED COACH DR",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465458307",
            "telephone_number": "574-387-4313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3297 ARMAR DR",
            "city": "MARION",
            "state": "IA",
            "postal_code": "523024748",
            "telephone_number": "574-387-4313",
            "fax_number": "574-204-2868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "TAYLOR",
        "sole_proprietor": "NO",
        "sex": "U",
        "enumeration_date": "2024-09-06",
        "last_updated": "2024-09-06",
        "certification_date": "2024-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "IA",
            "license": "12473826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fred Goldblatt, D.O.
• Gabriella Gonzalez, LMT
• Hayley Graham, MT-BC
• Grand Haven Homes, Inc.
• Amber Nicole Green, ARNP
• Joseph Greene
• Angela Theresa Greeno, LMHC, CADC, NCC, SEP
• Janel Griffin, RN
• Perry Thomas Grimes, DDS
• McKenna Ann Gross

• Behavior Analyst in Marion, IA
• Providers in Marion, IA by specialty
• Behavior Analyst in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.