Individual provider · Type 1 NPI

Eden Green

Behavior Analyst · Hazlehurst, GA

NPI number 1306350335 Active

Practice location

20 Hinson St Ste 5
Hazlehurst, GA 31539-6115

Fax (912) 561-6531

Mailing address

3022 Piedmont Manor Dr
Orange Park, FL 32065-4209

Specialties and licenses

TaxonomyCodeLicense
Behavior Analyst Primary 103K00000X1-19-39592 (GA)

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 1306350335

Eden Green's National Provider Identifier is 1306350335, issued on Nov 29, 2017. The primary taxonomy on file is Behavior Analyst (103K00000X), and the practice location is in Hazlehurst, GA. The record was last updated on Jan 22, 2026.