Active NPI
Julien Donnell Green
- Behavior Analyst
- Henderson, NV
National Provider Identifier
1306195631
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 401 W Basic Rd Apt B
Henderson, NV 89015-7080 - Phone
- (702) 927-9018
- NPI assigned
- Aug 31, 2012
- Last updated
- Aug 31, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | NU | Primary |
Addresses
Primary practice location
401 W Basic Rd Apt B
Henderson, NV 89015-7080
Mailing address
401 Basic Rd Apt B
Henderson, NV 89015
Phone (702) 927-9018
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346371200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346371200000",
"number": "1306195631",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 BASIC RD APT B",
"city": "HENDERSON",
"state": "NV",
"postal_code": "89015",
"telephone_number": "702-927-9018"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 W BASIC RD APT B",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890157080",
"telephone_number": "702-927-9018"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREEN",
"first_name": "JULIEN",
"middle_name": "DONNELL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-08-31",
"last_updated": "2012-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Henderson, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.