Individual provider Active NPI

Candice A Moore

  • Behavior Analyst
  • Huntingdon Valley, PA
National Provider Identifier
1023729472
Registry record updated Dec 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
BH006119 Issued in PA
Practice address
1800 Byberry Rd Ste 1404
Huntingdon Valley, PA 19006-3526
Phone
(267) 388-0670
NPI assigned
Dec 7, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X BH006119 PA Primary

Addresses

Primary practice location

1800 Byberry Rd Ste 1404
Huntingdon Valley, PA 19006-3526

Mailing address

1800 Byberry Rd Ste 1404
Huntingdon Valley, PA 19006-3526
Phone (267) 388-0670

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address CMoore@AspireCFS.com

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

State licenses

LicenseStateTypeSpecialty
BH006119PAMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Aspire Child & Family Services Behavior Analyst CurrentSince Dec 28, 2022 Accepting new patients

Locations

1800 Byberry Rd
Ste 1404
Huntingdon Valley, PA 19006
Phone (215) 344-7979

Interoperability endpoints

  • Direct secure messaging: cmoore@aspirecfs.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1670371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670803200000",
    "number": "1023729472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 BYBERRY RD STE 1404",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "190063526",
            "telephone_number": "267-388-0670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 BYBERRY RD STE 1404",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "190063526",
            "telephone_number": "267-388-0670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "CANDICE",
        "middle_name": "A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-07",
        "last_updated": "2022-12-12",
        "certification_date": "2022-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "PA",
            "license": "BH006119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "CMoore@AspireCFS.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "address_1": "1800 Byberry Rd Ste 1404",
            "city": "Huntingdon Valley",
            "state": "PA",
            "country_code": "US",
            "postal_code": "190063526",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Huntingdon Valley, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.