Organization · Type 2 NPI

Evergreen Therapeutics LLC

Behavior Analyst · Kernersville, NC

NPI number 1871439273 Active

Practice location

1492 Chimney Rock Dr
Kernersville, NC 27284-8905

Mailing address

5164 Reidsville Rd Ste 215
Walkertown, NC 27051-9770

Specialties and licenses

TaxonomyCodeLicense
Behavior Analyst Primary 103K00000XNone listed
Behavior Technician 106S00000XNone listed
Community/Behavioral Health Agency 251S00000XNone listed

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 1871439273

Evergreen Therapeutics LLC's National Provider Identifier is 1871439273, issued on Apr 27, 2026. The primary taxonomy on file is Behavior Analyst (103K00000X), and the practice location is in Kernersville, NC. The record was last updated on May 14, 2026.