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

Jannel Shanice Green

Individual provider Early Intervention Provider Agency · NPI 1790564094

Jannel Shanice Green is an Early Intervention Provider Agency in Brooklyn, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2023
Specialties on file
2
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Practice location Address checks out

1366 E 94th St
Brooklyn, NY 11236-4804
Phone: (917) 485-8110
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 1732639232 (NY)
Early Intervention Provider Agency Taxonomy 252Y00000X · Licence 1732640232 (NY)

Record details

NPI number1790564094
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 26, 2023
Last updated in NPPESSeptember 26, 2023
Certification dateSeptember 26, 2023

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