Shelley Jo Green
Behavior Analyst in Washington, IL. Individual provider (NPI-1).
NPI number1124435474
StatusActive
Last updated in NPPESJul 18, 2014
Details
- NPI
- 1124435474
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Shelley Jo Green
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 18, 2014
- Last updated
- Jul 18, 2014
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 |
|---|---|---|---|---|
| 103K00000X | Behavior Analyst | – | – | Yes |
Practice location
1003 N Cummings LnWashington, IL 61571-9646
Phone 309-444-1000 · Fax 309-444-7000
Mailing address
1003 N Cummings LnWashington, IL 61571-9646
Phone 309-444-1000 · Fax 309-444-7000
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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All 7 Behavior Analyst providers in Washington · All 333 providers in Washington
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