Green Behavioral Services, LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

GREEN BEHAVIORAL SERVICES, LLC

Practice address

7 Lakeland Cir Ste 600
Jackson, MS 39216-5025

Phone

(769) 226-6232

NPI assigned

Nov 14, 2021

Last updated

Jan 27, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jennifer GreenNPI 1770113607

Title

Bcba, Owner

Phone

(769) 226-6232

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jennifer Green, BCBS

  • Behavior Analyst
  • Jackson, MS
  • NPI 1770113607
  NPD Authorized official

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

{
    "created_epoch": "1636848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643241600000",
    "number": "1073279097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 59053",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392849053",
            "telephone_number": "769-226-6232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 LAKELAND CIR STE 600",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392165025",
            "telephone_number": "769-226-6232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN BEHAVIORAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-14",
        "last_updated": "2022-01-27",
        "certification_date": "2022-01-27",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "BCBA, OWNER",
        "authorized_official_telephone_number": "769-226-6232"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandra Gray, RDH
• Tracey Grayer, NURSE PRACTITIONER
• Destiny Grear
• Greater Jackson OBGYN LLC (Metro Jackson OBGYN)
• Greater Jackson Physician Group (Greater Jackson Physician Group, LLC)
• Green Case Management Services
• Amy Green
• Anthony Green
• April Lakeshia Green, NP
• Barbara Green, NURSE PRACTITIONER

• Behavior Analyst in Jackson, MS
• Providers in Jackson, MS by specialty
• Behavior Analyst in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2022; 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.