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

Kassidy Rae Green

Individual provider Behavior Technician · NPI 1780154260

Kassidy Rae Green is a Behavior Technician in Riverbank, California. Practices as a sole proprietor. Registered with an NPI since 2018.

In the registry since
2018
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Practice location Address checks out

5501 Antique Rose Way
Riverbank, CA 95367
Phone: (209) 521-4791
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1780154260
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 28, 2018
Last updated in NPPESNovember 28, 2018

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