IESHA GREEN
NPI 1912623505
Day Training/Habilitation Specialist in Maplewood, NJ

Active since October 14, 2022
255 TUSCAN RD APT 107, MAPLEWOOD, NJ 07040(862) 271-5831 Get Directions Write a Review

NPPES record last updated: October 27, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 27, 2022, Oct 14, 2022 (2 updates tracked since 2022).

  • Individual
  • Female
  • Day Training/Habilitation Specialist

About IESHA GREEN

This page provides the complete NPI Profile along with additional information for Iesha Green, a provider established in Maplewood, New Jersey with a medical specialization in Day Training/habilitation Specialist. The healthcare provider is registered in the NPI registry with number 1912623505 assigned on October 2022. The practitioner's primary taxonomy code is 373H00000X. The provider is registered as an individual and her NPI record was last updated 4 years ago.

NPI
1912623505 Verify this NPI
Provider Name
IESHA GREEN
Gender
Female
Entity Type
Individual
Location Address
255 TUSCAN RD APT 107 MAPLEWOOD, NJ 07040
Location Phone
(862) 271-5831
Mailing Address
255 TUSCAN RD APT 107 MAPLEWOOD, NJ 07040
Mailing Phone
(862) 271-5831
Is Sole Proprietor?
No
Enumeration Date
10-14-2022
Last Update Date
10-27-2022
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Day Training/Habilitation Specialist

Taxonomy Code
373H00000X
Type
Nursing Service Related Providers
Taxonomy Description
Individuals experienced or trained in working with developmentally disabled individuals who need assistance in acquiring and maintaining life skills that enable them to cope more effectively with the demands of independent living.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1103K00000XBehavioral Health & Social Service Providers

Behavior Analyst

 
2106S00000XBehavioral Health & Social Service Providers

Behavior Technician

 
3171400000XOther Service Providers

Health and Wellness Coach

 
4372600000XNursing Service Related Providers

Adult Companion

 

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1912623505, enumerated as an "individual" on October 14, 2022.

The provider is located at 255 TUSCAN RD APT 107 MAPLEWOOD, NJ 07040 and the phone number is (862) 271-5831.

Day Training/Habilitation Specialist with taxonomy code 373H00000X.