Raymond Anthony Moreno, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

567374 Issued in CA

Practice address

3600 Lime St Ste 612
Riverside, CA 92501-0919

Phone

(951) 813-4034

NPI assigned

Jun 27, 2018

Reactivated

Mar 24, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1530057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679616000000",
    "number": "1134614522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "482 HIGHLAND CT",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917866748",
            "telephone_number": "909-367-3133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 LIME ST STE 612",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925010919",
            "telephone_number": "951-813-4034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORENO",
        "first_name": "RAYMOND",
        "middle_name": "ANTHONY",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-27",
        "last_updated": "2023-03-24",
        "certification_date": "2023-03-24",
        "deactivation_date": "2023-03-06",
        "reactivation_date": "2023-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "567374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Moreno
• Michelle Moreno
• Neliza Moreno
• Nicole Monique Moreno, PSYCHIATRIC TECH
• Omara Moreno
• Rosaura Moreno, MSW
• Tania N/a Moreno
• Vicky Mona Moreno, BACHELORS
• Sherlyn Morga
• Morgan Dental Corporation

• Behavior Analyst in Riverside, CA
• Providers in Riverside, CA by specialty
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 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.

Verify at the official NPI Registry.