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

Icicess Green

Individual provider Behavior Analyst · NPI 1144948704

Icicess Green is a Behavior Analyst in Matthews, North Carolina. Licensed in Mississippi and North Carolina. Registered with an NPI since 2022.

Licensed in
MS, NC
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

2407 Plantation Center Dr Ste 100
Matthews, NC 28105-5418
Phone: (704) 448-9819
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X (NC)
Behavior Technician Taxonomy 106S00000X · Licence RBT-22-230400 (MS)

Record details

NPI number1144948704
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 19, 2022
Last updated in NPPESMay 22, 2026
Certification dateMay 22, 2026
Mailing address300 International Pkwy Ste 200, Lake Mary, FL 32746-5028

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