Green, Iesha

Green, Iesha is an individual health care provider with primary practice located at 255 Tuscan Rd Apt 107 , Maplewood NJ 07040-3087. She recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / Behavior Technician, Nursing Service Related Providers / Adult Companion, Nursing Service Related Providers / Day Training/Habilitation Specialist. Nursing Service Related Providers / Day Training/Habilitation Specialist is her primary health care specialty. Green, Iesha can be contacted via phone (862) 271-5831.

Contact Information

Primary practice address
255 Tuscan Rd Apt 107 Maplewood NJ 07040-3087
Phone: (862) 271-5831
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X
Nursing Service Related Providers / Adult Companion 372600000X
Nursing Service Related Providers / Day Training/Habilitation Specialist 373H00000X

Profile Details

NPI number 1912623505
LBN Legal business name Green, Iesha
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 14th, 2022
Last updated Oct 27th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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