Erysse Aaliyah Green

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

1330 Arnold Dr Ste 148
Martinez, CA 94553-6538

Phone

(925) 310-6311

NPI assigned

Feb 8, 2021

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1612742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612742400000",
    "number": "1386236628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2417 CROCKER WAY",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945318552",
            "telephone_number": "925-238-6962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 ARNOLD DR STE 148",
            "city": "MARTINEZ",
            "state": "CA",
            "postal_code": "945536538",
            "telephone_number": "925-310-6311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "ERYSSE",
        "middle_name": "AALIYAH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-08",
        "last_updated": "2021-02-08",
        "certification_date": "2021-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria Gray Dickerson
• Wilhamenia Gray
• Denisha Grayson
• Jacqueline Green-Garvey, LCSW
• Allison Green
• Genevieve Ann Green, MFTI
• Tavean Grant Green, ATP, OTRL
• Nicole Greenberg
• Caitlin L Greene, MPH, RD
• Lauren Elizabeth Ham Greene, MA, AMFT

• Behavior Technician in Martinez, CA
• Providers in Martinez, CA by specialty
• Behavior Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2021; 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.