Iesha Green

NPI #1912623505 in Maplewood, New Jersey

Provider Information

NPI Number: 1912623505
Entity Type: Individual
Name: Iesha Green
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Day Training/Habilitation Specialist
Enumeration Date: Oct 14, 2022
Last Updated: Oct 27, 2022

Practice Location

Address: 255 TUSCAN RD APT 107
City: Maplewood
State: New Jersey
ZIP Code: 07040-3087
Phone: (862) 271-5831

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X
Behavior Technician	106S00000X
Health & Wellness Coach	171400000X
Adult Companion	372600000X
Day Training/Habilitation Specialist	373H00000X	Primary

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