Individual provider · Type 1 NPI

Kibibi Shani Green

Licensed Psychiatric Technician · Long Beach, CA

NPI number 1083285191 Active

Practice location

6229 Butler Ave
Long Beach, CA 90805-2238

Specialties and licenses

Taxonomy	Code	License
Licensed Psychiatric Technician Primary	167G00000X	33827 (CA)

Licensed Psychiatric Technician: An individual licensed by the state board as a Psychiatric Technician based upon completion of a prescribed course of theory and clinical practice, with two thirds of the clinical practice time focused on mental and developmental disorders. The psychiatric technician practices under the direct supervision of a physician, psychologist, registered nurse or other professional to provide care to patients with mental dis…

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About NPI 1083285191

Kibibi Shani Green's National Provider Identifier is 1083285191, issued on Jul 8, 2021. The primary taxonomy on file is Licensed Psychiatric Technician (167G00000X), and the practice location is in Long Beach, CA. The record was last updated on Jul 8, 2021.