ICICESS GREEN

Behavior Technician

Active Individual
NPI: 1144948704

Practice Address

32 MILLBRANCH RD STE 40
Hattiesburg, MS 39402

Phone: (601) 255-5264

Specialties

Specialty Code Primary License
Behavior Technician 106S00000X Yes RBT-22-230400 (MS)

Frequently Asked Questions

NPI 1144948704 is the National Provider Identifier for ICICESS GREEN, a Behavior Technician provider located in Hattiesburg, MS. This NPI was enumerated on August 19, 2022.
ICICESS GREEN practices at 32 MILLBRANCH RD STE 40, Hattiesburg, MS 39402.

Quick Facts

NPI
1144948704
Type
Individual
Enumerated
Aug 19, 2022
Last Updated
Aug 4, 2025

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