Active NPI
Caitlyn Marie Moore
- Behavior Analyst
- Rosenberg, TX
National Provider Identifier
1114545456
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-24-77957
- Practice address
- 1548 Minonite Rd Ste 820
Rosenberg, TX 77469-1281 - Phone
- (345) 533-4221
- NPI assigned
- Jul 13, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-24-77957 | TX | Primary |
| Behavior Technician | 106S00000X | TX |
Addresses
Primary practice location
1548 Minonite Rd Ste 820
Rosenberg, TX 77469-1281
Mailing address
1822 Turtle Bluff LN
Booth, TX 77469-2993
Phone (512) 783-5301
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": "1594598400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738800000000",
"number": "1114545456",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1822 TURTLE BLUFF LN",
"city": "BOOTH",
"state": "TX",
"postal_code": "774692993",
"telephone_number": "512-783-5301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1548 MINONITE RD STE 820",
"city": "ROSENBERG",
"state": "TX",
"postal_code": "774691281",
"telephone_number": "345-533-4221"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE",
"first_name": "CAITLYN",
"middle_name": "MARIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-07-13",
"last_updated": "2025-02-06",
"certification_date": "2025-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "TX",
"license": "1-24-77957",
"primary": true
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "TX",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rosenberg, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.