Courtney Rose Moore

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

3146 Issued in TX

Practice address

14131 Midway Rd Ste 800
Addison, TX 75001-3627

Phone

(855) 782-7822

NPI assigned

Oct 24, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• The New England Center for Children, Inc.

  • Community/Behavioral Health Agency
  • Southborough, MA
  • NPI 1629193776
  NPD (past)

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

{
    "created_epoch": "1351036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582675200000",
    "number": "1093068306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14131 MIDWAY RD STE 800",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750013627",
            "telephone_number": "855-782-7822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14131 MIDWAY RD STE 800",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750013627",
            "telephone_number": "855-782-7822"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "33 Turnpike Rd",
            "address_purpose": "LOCATION",
            "city": "Southborough",
            "state": "MA",
            "postal_code": "017722108",
            "country_code": "US",
            "telephone_number": "508-481-1015 x3190",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOORE",
        "first_name": "COURTNEY",
        "middle_name": "ROSE",
        "name_prefix": "Miss",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-24",
        "last_updated": "2020-02-26",
        "certification_date": "2020-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TX",
            "license": "3146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arnold Mochabo
• Juan Carlos Molina, MD
• Monarch Diagnostics Inc.
• Cherishe Payne Mondics
• Marilyn J Monteiro, PH.D.
• Dean L Moore, DPM
• Anisha Moorthy, PT, DPT
• Mpower Triple Aim TX
• Lauren Meredith Mull, M.S., CCC-SLP
• Erica L Muller, M.D.

• Behavior Analyst in Addison, TX
• Providers in Addison, TX by specialty
• Behavior Analyst in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2020; 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.