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Deactivated NPI 1619425824 Deactivated / Inactive NPI Male Practitioner

Andre Green

Behavior Analyst • Raleigh, NC

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Andre Green has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 16, 2016
NPI Deactivation Date June 17, 2021
Total Practice Duration ~5 Years of Practice (2016 – 2021)

Professional Overview & Biography Verified Profile Summary

Andre Green was a registered Behavior Analyst practicing in Raleigh, NC. Throughout an active medical career spanning 5 years, Andre Green provided care at the practice location at 1528 VARSITY DR APT 46 until profile deactivation on 2021-06-17.

Practice Location & Contact Primary Location

Practice Address

1528 Varsity Dr Apt 46

Raleigh, NC 276062052

Telephone 9196339223

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Analyst in Raleigh, NC

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 5.0 Yrs
Regional Practice Density
249 Specialists

Practicing in Raleigh, NC (2354 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

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.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated June 17, 2021

Record deactivated on June 17, 2021

NPI Profile Active September 16, 2016

NPI status registered as active in NPPES database

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Updated Practice Location September 16, 2016

Registered at 1528 VARSITY DR APT 46, RALEIGH, NC 276062052 (Tel: 9196339223)

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Updated Business Mailing Address September 16, 2016

Registered at 1528 VARSITY DR APT 46, RALEIGH, NC 276062052 (Tel: 9196339223)

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Provider Name / Credentials Updated September 16, 2016

Recorded as ANDRE GREEN

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 16, 2016

Behavior Analyst

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Initial NPI Registration & Enumeration September 16, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1619425824
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 16, 2016
Last Update: September 16, 2016
Deactivation Date: June 17, 2021

Mailing Address

1528 Varsity Dr Apt 46

Raleigh, NC 276062052

Phone: 9196339223

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.