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

ICICESS GREEN

Active

ICICESS GREEN is a Behavior Technician healthcare provider located in HATTIESBURG, Mississippi. NPI 1144948704 is currently active in the NPPES registry. Verify at CMS.

Behavior Technician · HATTIESBURG, MS

Registration Details

NPI Number
1144948704
Provider Type
Individual
Gender
Female
NPI Issued
Aug 19, 2022 (3.9674115697542 yrs)
Last Updated
Aug 4, 2025
License
RBT-22-230400 (MS)

Practice Information

Address
32 MILLBRANCH RD STE 40
HATTIESBURG, MS, 394021673
Browse MS providers · Browse ZIP 39402
Phone
6012555264
Fax
8666250559
Primary Specialty
Behavior Technician
106S00000X

Other Behavior Technician Providers in HATTIESBURG, MS

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.