Active NPI
Nicole Moes, MA, BCBA
- Behavior Analyst
- Crown Point, IN
National Provider Identifier
1124796065
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-21-53013
- Practice address
- 5521 W Lincoln Hwy Ste 101
Crown Point, IN 46307-1118 - Phone
- (219) 359-3272
- Fax
- (219) 359-3089
- NPI assigned
- Sep 4, 2021
- Sex
- Female
- 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 Analyst | 103K00000X | 1-21-53013 | IN | Primary |
Addresses
Primary practice location
5521 W Lincoln Hwy Ste 101
Crown Point, IN 46307-1118
Mailing address
114 Plum Creek Dr Apt 2N
Schererville, IN 46375-1133
Phone (219) 218-8009
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
- Credentials
- Master of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Circle City ABA | Behavior Analyst | Past | Accepting new patients |
| Life Strategies, LLC | Behavior Analyst | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Behavior Analyst
- Lafayette, IN
- NPI 1235676990
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630713600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630713600000",
"number": "1124796065",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "114 PLUM CREEK DR APT 2N",
"city": "SCHERERVILLE",
"state": "IN",
"postal_code": "463751133",
"telephone_number": "219-218-8009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5521 W LINCOLN HWY STE 101",
"city": "CROWN POINT",
"state": "IN",
"postal_code": "463071118",
"telephone_number": "219-359-3272",
"fax_number": "219-359-3089"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOES",
"first_name": "NICOLE",
"credential": "MA, BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-09-04",
"last_updated": "2021-09-04",
"certification_date": "2021-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "IN",
"license": "1-21-53013",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Crown Point, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.