Tyjean Green
Individual provider Active NPI Behavior Technician · Box Elder, SD
NPI 1134099146 · NPPES record last updated Nov 6, 2025
Key facts
- NPI
- 1134099146
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 404 Berky Dr
Box Elder, SD 57719-8049 - Phone
- (541) 340-4210
- NPI assigned
- Nov 6, 2025
- Sex
- Unspecified or another gender identity
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
404 Berky Dr
Box Elder, SD 57719-8049
Mailing address
404 Berky Dr
Box Elder, SD 57719-8049
Other providers in Box Elder, SD
- Kristina M Arnold
- Ashley Dawn Bauer
- Paula Lynn Ehrmantraut
- Laine Leanora Espinoza Briggs
- Frederick Therapy, LLC
- Honor the Light, LLC
- Taylor Lyn Hunter
- Jason Robert Jones
- Teresa Leuck
- Love, Me Counseling LLC
All providers in Box Elder, SD · Behavior Technician in South Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 6, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.