Cameron Cody Green, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

LBA0125 Issued in NV

Practice address

4840 Vista Blvd Ste 108
Sparks, NV 89436-2850

Phone

(775) 354-1380

Fax

(775) 354-1474

NPI assigned

Nov 9, 2017

Sex

Male

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.

• Applied Behavior Technologies, LLC

  • Behavior Analyst
  • Sparks, NV
  • NPI 1740522739
  NPD (past)

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

{
    "created_epoch": "1510185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510185600000",
    "number": "1215440474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 50843",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894350843",
            "telephone_number": "775-354-1380",
            "fax_number": "775-354-1474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4840 VISTA BLVD STE 108",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894362850",
            "telephone_number": "775-354-1380",
            "fax_number": "775-354-1474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "CAMERON",
        "middle_name": "CODY",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-11-09",
        "last_updated": "2017-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NV",
            "license": "LBA0125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alicia Gray
• Casey U Gray
• Dana Skylar Gray, LSW
• Marianna Grayer
• Great Basin Therapeutic Services LTD.
• Tracey D Green, MD
• Darryl Greene
• Frank Greenwood, BA
• Carresa Greer
• Dale Eugene Grensted, D.C.

• Behavior Analyst in Sparks, NV
• Providers in Sparks, NV by specialty
• Behavior Analyst in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2017; 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.