Mary Grayson Green
Behavior Technician in Frisco, TX. Individual provider (NPI-1).
NPI number1104581065
StatusActive
Last updated in NPPESNov 5, 2021
Details
- NPI
- 1104581065
- Entity type
- Individual (NPI-1)
- Name
- Mary Grayson Green
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 5, 2021
- Certification date
- Nov 5, 2021
- Last updated
- Nov 5, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
4500 Hillcrest Rd Ste 150Frisco, TX 75035-5420
Phone 469-535-3844
Mailing address
1462 Homestead LnCarrollton, TX 75007-2991
Phone 614-561-3246
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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