Victoria Green

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-24-71882 Issued in GA

Practice address

6900 Roswell Rd Apt B5
Atlanta, GA 30328-2264

Phone

(678) 983-5718

NPI assigned

Apr 8, 2020

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

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": "1586304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763942400000",
    "number": "1417586751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "542 AMHERST ST STE B",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030631016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6900 ROSWELL RD APT B5",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303282264",
            "telephone_number": "678-983-5718"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3098 Piedmont Rd NE Ste 200",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303052600",
            "country_code": "US",
            "telephone_number": "855-827-0306",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREEN",
        "first_name": "VICTORIA",
        "name_prefix": "Miss",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-08",
        "last_updated": "2025-11-24",
        "certification_date": "2025-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "GA",
            "license": "1-24-71882",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMBETTER",
            "identifier": "U9155173503",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Synnamon Rosetta Green
• Tameka Green
• Tasha Theresa Green, RN
• Tiarra Green
• Timothy Green Jr.
• Victoria La Shelle Green, MD
• David Scott Greenaway, PHD
• Adam B. Greenbaum, M.D.
• Addison Paige Greenbaum
• Laurence Greenbaum, MD, PHD

• Behavior Analyst in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Behavior Analyst in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2025; 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.