Active NPI
Wendy Yamileth Moreira
- Behavior Technician
- Washington, DC
National Provider Identifier
1134616659
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 3814 12TH St NE
Washington, DC 20017-2630 - Phone
- (202) 656-9059
- NPI assigned
- Apr 19, 2018
- 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 Technician | 106S00000X | Primary |
Addresses
Primary practice location
3814 12TH St NE
Washington, DC 20017-2630
Mailing address
Basics LLC Therapy
3814 12 St NE
Washington, DC 20017-2630
Phone (202) 656-9059
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3313008 | Other | DRIVERS LICENSE |
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": "1524096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1524096000000",
"number": "1134616659",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "BASICS LLC THERAPY",
"address_2": "3814 12 ST NE",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200172630",
"telephone_number": "202-656-9059"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3814 12TH ST NE",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200172630",
"telephone_number": "202-656-9059"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOREIRA",
"first_name": "WENDY",
"middle_name": "YAMILETH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-04-19",
"last_updated": "2018-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DRIVERS LICENSE",
"identifier": "3313008",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.