Active NPI
Trey Moore
- Behavior Technician
- Colorado Springs, CO
National Provider Identifier
1023723616
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 1330 Quail Lake Loop
Colorado Springs, CO 80906-4651 - Phone
- (719) 540-2108
- NPI assigned
- Jan 18, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Primary |
Addresses
Primary practice location
1330 Quail Lake Loop
Colorado Springs, CO 80906-4651
Mailing address
1330 Quail Lake Loop
Colorado Springs, CO 80906-4651
Phone (719) 540-2108
Other practice location 1
1330 Quail Lake Loop
Colorado Springs, CO 80906-4651
Phone (719) 540-2108
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1674000000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674000000000",
"number": "1023723616",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1330 QUAIL LAKE LOOP",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809064651",
"telephone_number": "719-540-2108"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1330 QUAIL LAKE LOOP",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809064651",
"telephone_number": "719-540-2108"
}
],
"practiceLocations": [
{
"address_1": "1330 Quail Lake Loop",
"address_purpose": "LOCATION",
"city": "Colorado Springs",
"state": "CO",
"postal_code": "809064651",
"country_code": "US",
"telephone_number": "719-540-2108",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOORE",
"first_name": "TREY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-01-18",
"last_updated": "2023-01-18",
"certification_date": "2023-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.