Sherry Lea Green

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

350 Fairway Drive Suite 101a
Deerfield Beach, FL 33441-6407

Phone

(954) 947-3720

NPI assigned

Oct 24, 2017

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": "1508803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687651200000",
    "number": "1578075057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "239 SUSSEX L",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334176833",
            "telephone_number": "561-401-5764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 FAIRWAY DRIVE SUITE 101A",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334416407",
            "telephone_number": "954-947-3720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "SHERRY",
        "middle_name": "LEA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-24",
        "last_updated": "2023-06-25",
        "certification_date": "2023-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chelsea Lynn Green
• Kimberly Green
• Salonika Tameisha Green
• Sari Green, LMHC
• Shauna-Kay Green
• Zahria Green I
• Jayvein Greene
• Kevin Greene
• Keshia Gregory, RN
• Morgan Elizabeth Gremillion

• Behavior Technician in Deerfield Beach, FL
• Providers in Deerfield Beach, FL by specialty
• Behavior Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2023; 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.