Cameron Moore

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

231 S 2ND E
Rexburg, ID 83440-2202

Phone

(208) 534-8623

NPI assigned

Jun 10, 2020

Sex

Male

Sole proprietor

No

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

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

{
    "created_epoch": "1591747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591747200000",
    "number": "1134744790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 S 2ND E",
            "city": "REXBURG",
            "state": "ID",
            "postal_code": "834402202",
            "telephone_number": "208-534-8623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 S 2ND E",
            "city": "REXBURG",
            "state": "ID",
            "postal_code": "834402202",
            "telephone_number": "208-534-8623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "CAMERON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-10",
        "last_updated": "2020-06-10",
        "certification_date": "2020-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jay Milner
• Mindful Mood Psychiatry, PLLC
• Misty Mountains Therapy, LLC
• William J Mitchell
• Julie Raye Moody, PMHNP
• Dalynn N Moore, MC, LPC
• Tyler Herchell Moore, NP
• Hannah Mora
• Lindsey J Morey
• James Morris, MD

• Behavior Technician in Rexburg, ID
• Providers in Rexburg, ID by specialty
• Behavior Technician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.