Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Destani Nicole Green

Individual provider Behavior Technician · NPI 1821964743

Destani Nicole Green is a Behavior Technician in Baton Rouge, Louisiana. Licensed in Louisiana. Registered with an NPI since 2025.

Licensed in
LA
In the registry since
2025

Practice location Address checks out

11607 Southfork Ave Bldg B
Baton Rouge, LA 70816-5220
Phone: (888) 880-9270
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X (LA)

Record details

NPI number1821964743
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 16, 2025
Last updated in NPPESOctober 16, 2025
Certification dateOctober 16, 2025

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