NIA GREEN (NPI# 1073138525) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073138525 |
| Entity Type | Individual |
| Full Name | NIA GREEN |
| Credential | RBT |
| Practice Address |
2601 N Walton Blvd Ste 1 Bentonville AR 72712-4302 |
| Practice Telephone | 4798024798 |
| Practice Fax Number | 4796680589 |
| Mailing Telephone | 4798024798 |
| Mailing Fax Number | 4796680589 |
| Enumeration Date | 2020-06-10 |
| Last Update Date | 2020-06-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | 20-120556 | AR | Behavioral Health & Social Service Providers |
| Street Address |
2601 N WALTON BLVD STE 1 |
| City | BENTONVILLE |
| State | AR |
| Zip Code | 72712-4302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952938862 | Mckinsey Stephens | Behavior Technician | 2601 N Walton Blvd Ste 1, Bentonville, AR 72712-4302 | 2020-03-23 |
| 1639770977 | Tessa Chambers | Behavior Technician | 2601 N Walton Blvd Ste 1, Bentonville, AR 72712-4302 | 2020-11-03 |
| 1386245801 | Mckenzie Fellinger | Behavior Technician | 2601 N Walton Blvd Ste 1, Bentonville, AR 72712-4302 | 2020-11-02 |
| 1629686456 | Caryn Loy | Behavior Technician | 2601 N Walton Blvd Ste 1, Bentonville, AR 72712-4302 | 2020-07-17 |
| 1437781911 | Chase Roweton | Behavior Technician | 2601 N Walton Blvd Ste 1, Bentonville, AR 72712-4302 | 2020-02-12 |
| 1891327383 | Jesse Koskovick | Behavior Technician | 2601 N Walton Blvd Ste 1, Bentonville, AR 72712-4302 | 2020-02-12 |
| 1962034447 | Alexandra Lauerhahs | Behavior Technician | 2601 N Walton Blvd Ste 1, Bentonville, AR 72712-4302 | 2020-02-12 |
| 1972135408 | Emily Tolar | Behavior Technician | 2601 N Walton Blvd Ste 1, Bentonville, AR 72712-4302 | 2020-02-12 |
| 1841822376 | Maries Hanna | Behavior Technician | 2601 N Walton Blvd Ste 1, Bentonville, AR 72712-4302 | 2020-02-12 |
| 1730711268 | Felicia Squires | Behavior Technician | 2601 N Walton Blvd Ste 1, Bentonville, AR 72712-4302 | 2020-02-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427662345 | Bentonville Ambulatory Surgery Center, LLC | Pain Medicine | 2902 We Mid-cities Dr, Bentonville, AR 72712 | 2020-09-08 |
| 1942837059 | Amy Crumpton | Counselor | 3504 Se Riveria Road, Bentonville, AR 72712 | 2020-03-26 |
| 1295361509 | Unbridled Holdings LLC | Physical Therapy Assistant | 9900 Price Coffee Rd, Bentonville, AR 72712 | 2020-03-18 |
| 1649803552 | Hanna Kathryn Baxendale | Pediatrics | 2900 Medical Pkwy, Ste #370, Bentonville, AR 72712 | 2020-02-19 |
| 1740746635 | Meredith C Hodges | Counselor | 2508 Se 2oth St, Bentonville, AR 72712 | 2019-02-15 |
| 1609352566 | Tripharma Inc | Pharmacy | 3500 Sw Regional Airport Blvd Ste 2, Bentonville, AR 72712 | 2018-07-13 |
| 1811406747 | Upspring Therapy, LLC | Counselor | 2106 Sw Walton Blvd, Suite B, Bentonville, AR 72712 | 2017-09-22 |
| 1023536836 | Charlotte Yuvonne Hoyle | Case Manager/Care Coordinator | 2005 S.e Walton Blvd., Bentonville, AR 72712 | 2017-08-31 |
| 1508399502 | Rosanna Nicole Rephan | Nurse Practitioner | 3101 14th St, Mercy Convenient Care, Bentonville, AR 72712 | 2017-04-06 |
| 1417305517 | Charlotte Lennette Stephenson | Behavioral Analyst | 2005 S.e. Walton Blvd., Bentonville, AR 72712 | 2016-05-31 |
| Find all providers in zip 72712 | ||||
| Taxonomy Code | 106S00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavior Technician |
| The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work. |
| Notes: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2016: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952938862 | Mckinsey Stephens | Behavior Technician | 2601 N Walton Blvd Ste 1, Bentonville, AR 72712-4302 | 2020-03-23 |
| 1639770977 | Tessa Chambers | Behavior Technician | 2601 N Walton Blvd Ste 1, Bentonville, AR 72712-4302 | 2020-11-03 |
| 1386245801 | Mckenzie Fellinger | Behavior Technician | 2601 N Walton Blvd Ste 1, Bentonville, AR 72712-4302 | 2020-11-02 |
| 1629686456 | Caryn Loy | Behavior Technician | 2601 N Walton Blvd Ste 1, Bentonville, AR 72712-4302 | 2020-07-17 |
| 1982237632 | Sydney Dishner | Behavior Technician | 2601 N Walton Blvd, Bentonville, AR 72712-4302 | 2020-02-20 |
| 1437781911 | Chase Roweton | Behavior Technician | 2601 N Walton Blvd Ste 1, Bentonville, AR 72712-4302 | 2020-02-12 |
| 1891327383 | Jesse Koskovick | Behavior Technician | 2601 N Walton Blvd Ste 1, Bentonville, AR 72712-4302 | 2020-02-12 |
| 1962034447 | Alexandra Lauerhahs | Behavior Technician | 2601 N Walton Blvd Ste 1, Bentonville, AR 72712-4302 | 2020-02-12 |
| 1972135408 | Emily Tolar | Behavior Technician | 2601 N Walton Blvd Ste 1, Bentonville, AR 72712-4302 | 2020-02-12 |
| 1841822376 | Maries Hanna | Behavior Technician | 2601 N Walton Blvd Ste 1, Bentonville, AR 72712-4302 | 2020-02-12 |
| Find all providers in BENTONVILLE | ||||
| City | BENTONVILLE |
| Zip Code | 72712 |
Please comment or provide details below to improve the information on NIA GREEN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.