Kamyra Denee Green
Individual provider Active NPI Behavior Technician · VA Beach, VA
NPI 1285254243 · NPPES record last updated Apr 20, 2020
Key facts
- NPI
- 1285254243
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 780 Lynnhaven Pkwy Ste 400
VA Beach, VA 23452-7332 - Phone
- (877) 418-2978
- Fax
- (866) 500-2186
- NPI assigned
- Apr 20, 2020
- Sex
- Female
- 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
780 Lynnhaven Pkwy Ste 400
VA Beach, VA 23452-7332
Mailing address
780 Lynnhaven Pkwy Ste 400
VA Beach, VA 23452-7332
Phone (877) 418-2978
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- Candace Lavern Green
- Janice E Guynn
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- Lisbet M Hanson
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All providers in VA Beach, VA · Behavior Technician in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 20, 2020. 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.