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

Miss. Jalicia Chanel Green, CBT

Individual provider Behavior Technician · NPI 1982473542

Miss. Jalicia Chanel Green, CBT is a Behavior Technician in Moses Lake, Washington. Licensed in Washington. Registered with an NPI since 2023.

Licensed in
WA
In the registry since
2023
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Practice location Address checks out

615 S Division St Ste A
Moses Lake, WA 98837-3800
Phone: (509) 764-6644
Fax: (509) 764-6676
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X · Licence 61441058 (WA)

Record details

NPI number1982473542
Entity typeIndividual (Type 1)
GenderFemale
Credentials CBT
Sole proprietorNo
NPI enumeratedDecember 25, 2023
Last updated in NPPESDecember 25, 2023
Certification dateDecember 22, 2023

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