Individual provider · Type 1 NPI

Icicess Green

Behavior Analyst · Matthews, NC

NPI number 1144948704 Active

Practice location

2407 Plantation Center Dr Ste 100
Matthews, NC 28105-5418

Call (704) 448-9819 Map

Mailing address

300 International Pkwy Ste 200
Lake Mary, FL 32746-5028

Specialties and licenses

TaxonomyCodeLicense
Behavior Analyst Primary 103K00000XNone listed
Behavior Technician 106S00000XRBT-22-230400 (MS)

Behavior Analyst: A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis…

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About NPI 1144948704

Icicess Green's National Provider Identifier is 1144948704, issued on Aug 19, 2022. The primary taxonomy on file is Behavior Analyst (103K00000X), and the practice location is in Matthews, NC. The record was last updated on May 22, 2026.