Active NPI
Eden Green
- Behavior Analyst
- Hazlehurst, GA
National Provider Identifier
1306350335
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-19-39592
- Practice address
- 20 Hinson St Ste 5
Hazlehurst, GA 31539-6115 - Phone
- (407) 288-6888
- Fax
- (912) 561-6531
- NPI assigned
- Nov 29, 2017
- Sex
- Female
- Sole proprietor
- No
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 | 1-19-39592 | GA | Primary |
Addresses
Primary practice location
20 Hinson St Ste 5
Hazlehurst, GA 31539-6115
Mailing address
3022 Piedmont Manor Dr
Orange Park, FL 32065-4209
Phone (407) 288-6888
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beehavior Therapy Effects, LLC | Behavior Analyst | Current | Accepting new patients |
Locations
20 Hinson St
Ste 5
Hazlehurst, GA 31539
Phone (209) 597-6489
Organizations & group practices 1
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.
-
- Behavior Analyst
- Hazlehurst, GA
- NPI 1376362004
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1511913600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769040000000",
"number": "1306350335",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3022 PIEDMONT MANOR DR",
"city": "ORANGE PARK",
"state": "FL",
"postal_code": "320654209",
"telephone_number": "407-288-6888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 HINSON ST STE 5",
"city": "HAZLEHURST",
"state": "GA",
"postal_code": "315396115",
"telephone_number": "407-288-6888",
"fax_number": "912-561-6531"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREEN",
"first_name": "EDEN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-11-29",
"last_updated": "2026-01-22",
"certification_date": "2026-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "GA",
"license": "1-19-39592",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hazlehurst, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.