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

Shantell Alyssia Green

Individual provider Behavior Technician · NPI 1629787130

Shantell Alyssia Green is a Behavior Technician in Louisburg, North Carolina. Licensed in North Carolina. Registered with an NPI since 2022.

Licensed in
NC
In the registry since
2022

Practice location Address checks out

65 Wilders Ln
Louisburg, NC 27549-9586
Phone: (919) 453-3900
Show map & directions

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

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X · Licence 21-196645 (NC)

Record details

NPI number1629787130
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 23, 2022
Last updated in NPPESNovember 23, 2022
Certification dateNovember 23, 2022

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