IndividualActive
Jazelle Green
NPI 1104543719 · Behavior Technician · Long Beach, CA
Jazelle Green is a Behavior Technician provider in Long Beach, CA (NPI 1104543719).
Provider details
- NPI number
- 1104543719
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(58/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4300 Long Beach Blvd Ste 100
Long Beach, CA 90807-2008
Phone: (855) 223-7123
Street-level locationGet directions
Mailing address
Po Box 33568
San Diego, CA 92163-3568
Additional practice locations (1)
- 3431 Cherry Ave Ste BLong Beach, CA 90807-4911Phone: (855) 223-7123Fax: (619) 374-7134
Registry dates
- Enumerated
- 2022-10-24
- Last updated
- 2024-03-27
- Certified
- 2024-03-27
Frequently asked questions
- What is Jazelle Green's NPI number?
- Jazelle Green's National Provider Identifier (NPI) is 1104543719, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jazelle Green's specialty?
- Jazelle Green is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Jazelle Green located?
- Jazelle Green's practice location on file with NPPES is 4300 Long Beach Blvd Ste 100, Long Beach, CA 90807-2008.
- What is Jazelle Green's phone number?
- The practice phone number listed in the NPPES registry for Jazelle Green is (855) 223-7123.
- Is Jazelle Green's NPI active?
- Yes — Jazelle Green's NPI (1104543719) is active in the NPPES registry as of the last update on 2024-03-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.