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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JACOB GREEN

Active

JACOB GREEN is a Behavior Technician healthcare provider located in INDIANAPOLIS, Indiana. NPI 1053117374 is currently active in the NPPES registry. Verify at CMS.

Behavior Technician · INDIANAPOLIS, IN

Registration Details

NPI Number
1053117374
Provider Type
Individual
Gender
Male
NPI Issued
Feb 19, 2025 (1.4731711813494 yrs)
Last Updated
Feb 19, 2025

Practice Information

Address
5545 E STOP 11 RD
INDIANAPOLIS, IN, 462378616
Browse IN providers · Browse ZIP 46237
Phone
3179605437
Primary Specialty
Behavior Technician
106S00000X

Other Behavior Technician Providers in INDIANAPOLIS, IN

Name Credential NPI
MS. COURTNEY RENEE FREIHAUT RBT 1649576844
MRS. ASHLEY MCCORY 1720482250
LOGAN LITCHFIELD 1538534896
ANGELA HIGGINS 1902798044
MRS. JODI KAY ICHIKAWA BS, RBT 1215486246
DEKKIA WADE 1295286169
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.