Cheyenne Kay Elisio Green

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

10732 Penstock TRL
Auburn, CA 95603-9556

Phone

(530) 368-5151

NPI assigned

Jul 11, 2011

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

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

{
    "created_epoch": "1310342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1457649535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10732 PENSTOCK TRL",
            "city": "AUBURN",
            "state": "CA",
            "postal_code": "956039556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10732 PENSTOCK TRL",
            "city": "AUBURN",
            "state": "CA",
            "postal_code": "956039556",
            "telephone_number": "530-368-5151"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11523 C Ave",
            "address_purpose": "LOCATION",
            "city": "Auburn",
            "state": "CA",
            "postal_code": "956032703",
            "country_code": "US",
            "telephone_number": "530-886-3470",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREEN",
        "first_name": "CHEYENNE",
        "middle_name": "KAY ELISIO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-11",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marco Antonio Grappasonno, H.A.D.
• Kellie Gray, RADT
• Greater Placer Pharmacy, Inc.
• Margaret L Grebe, MALMFT
• Bethany Green
• Kiara Mae Green
• Maria Aurora Green
• Savannah Green
• Kelley Nicole Greene
• Alisa Greenhill, MFT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.