Akiel-Tyler Green

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-19-37344

Practice address

6911 Laurel Bowie Rd Ste 309
Bowie, MD 20715-1712

Phone

(301) 755-4021

NPI assigned

Dec 15, 2019

Sex

Male

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": "1576368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664496000000",
    "number": "1942848445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17230 KING JAMES WAY",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208772252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6911 LAUREL BOWIE RD STE 309",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207151712",
            "telephone_number": "301-755-4021"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17230 King James Way Apt 302",
            "address_purpose": "LOCATION",
            "city": "Gaithersburg",
            "state": "MD",
            "postal_code": "208772252",
            "country_code": "US",
            "telephone_number": "445-999-2275",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREEN",
        "first_name": "AKIEL-TYLER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-12-15",
        "last_updated": "2022-09-30",
        "certification_date": "2022-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1-19-37344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patrick Jacque Graux, D.C.
• Erick Alan Gray, O.D.
• Jamia Gray
• Peyton Gray
• Greatwaygroup LLC
• Anayah Milan Green
• Crystal Michelle Green
• Jahdae Tyriel Green
• Kelly M Green, RD
• Jo Alderman Greenberg, CRNP

• Behavior Analyst in Bowie, MD
• Providers in Bowie, MD by specialty
• Behavior Analyst in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2022; 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.