Emily Green, M.A.

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

6671 Las Vegas Blvd S Ste 210
Las Vegas, NV 89119-3273

Phone

(310) 406-1500

NPI assigned

Sep 7, 2021

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

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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

{
    "created_epoch": "1630972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630972800000",
    "number": "1831868553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6671 LAS VEGAS BLVD S STE 210",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891193273",
            "telephone_number": "310-406-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6671 LAS VEGAS BLVD S STE 210",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891193273",
            "telephone_number": "310-406-1500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2615 Pacific Coast Hwy Ste 300",
            "address_purpose": "LOCATION",
            "city": "Hermosa Beach",
            "state": "CA",
            "postal_code": "902542227",
            "country_code": "US",
            "telephone_number": "310-406-1500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREEN",
        "first_name": "EMILY",
        "credential": "M.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-07",
        "last_updated": "2021-09-07",
        "certification_date": "2021-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05",
            "state": "NV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "BAE",
            "affiliation": "N",
            "address_1": "6671 Las Vegas Blvd S Ste 210",
            "city": "Las Vegas",
            "state": "NV",
            "country_code": "US",
            "postal_code": "891193273",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Deveronte Green
• Devon Green
• Donna Lynn Green
• Douglas Green
• Earnestine Green
• Erik J Green
• Everett Green
• Fitima Symby Green
• Francine Green, LCSW
• Fredrick Agustas Green

• Behavior Technician in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Behavior Technician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 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.