ICICESS GREEN
NPI 1144948704
Behavior Analyst in Matthews, NC

Q: What is Icicess Green's NPI number?

The NPI number for Icicess Green is 1144948704. It was assigned to this individual provider in the NPPES registry on August 19, 2022.

Q: What is Icicess Green's specialty?

The primary specialty registered for this NPI is Behavior Analyst with taxonomy code 103K00000X.

Q: When was this NPI record last updated?

The NPPES record for Icicess Green was last updated on May 22, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since August 19, 2022

2407 PLANTATION CENTER DR STE 100, MATTHEWS, NC 28105(704) 448-9819 Get Directions Write a Review

NPPES record last updated: May 22, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 22, 2026, Apr 16, 2026, Aug 4, 2025 and 1 more (4 updates tracked since 2022).

On this page

About Icicess Green NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ICICESS GREEN (NPI 1144948704) is an individual behavior analyst provider in Matthews, North Carolina and active in the NPI registry since August 2022.

NPPES Registry Identity

NPI1144948704

Entity TypeIndividualFemale

Primary Taxonomy103K00000X

Provider Legal NameICICESS GREEN

Location Address2407 PLANTATION CENTER DR STE 100Matthews, NC 28105-5418

Mailing Address300 International Pkwy Ste 200Lake Mary, FL 32746-5028

Phone(704) 448-9819

Sole ProprietorNo

Enumeration DateAugust 19, 2022

Last NPPES UpdateMay 22, 20264 updates tracked since enumeration

NPPES CertifiedMay 22, 2026

✔ NPI 1144948704 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers

Taxonomy Code103K00000X

Definition

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

Also ListedBehavior TechnicianTaxonomy 106S00000X · License RBT-22-230400 (MS)

2407 PLANTATION CENTER DR STE 100, Matthews, NC 28105

Open in Google Maps ↗

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHRISTOPHER TODD CHERRY

Behavior Technician