Destiny Green, RBT

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-24-392954 Issued in CO

Practice address

418 Old Forge Rd
Chapin, SC 29036-9753

Phone

(919) 805-2098

NPI assigned

Nov 26, 2024

Sex

Female

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.

• Wood Applied Behavior Consulting LLC

  • Behavior Analyst
  • Chapin, SC
  • NPI 1235475567
  NPD (past)

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

{
    "created_epoch": "1732579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732579200000",
    "number": "1386460160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "418 OLD FORGE RD",
            "city": "CHAPIN",
            "state": "SC",
            "postal_code": "290369753",
            "telephone_number": "919-805-2098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "418 OLD FORGE RD",
            "city": "CHAPIN",
            "state": "SC",
            "postal_code": "290369753",
            "telephone_number": "919-805-2098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "DESTINY",
        "credential": "RBT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-26",
        "last_updated": "2024-11-26",
        "certification_date": "2024-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CO",
            "license": "RBT-24-392954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Koskie Gibson
• Gimme Five, PLLC
• Macie Reagan Goodman, PHARMD
• Sharonda Gordon
• Edith M. Gore, DMD
• Marcia Hindman Green, NP
• Greenfield Hill Capital LLC
• Adriana Tavares Grimes, DPT
• Adam D Hairr, DDS
• Joseph Hamilton

• Behavior Technician in Chapin, SC
• Providers in Chapin, SC by specialty
• Behavior Technician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2024; 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.