Active NPI
Michael Anthony Moss
- Behavior Technician
- Miami, FL
National Provider Identifier
1154974285
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-19-82611
- Practice address
- 8785 SW 165TH Ave Ste 103
Miami, FL 33193-5827 - Phone
- (786) 206-6500
- NPI assigned
- Jul 18, 2019
- Sex
- Male
- Sole proprietor
- Yes
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 | RBT-19-82611 | FL | Primary |
Addresses
Primary practice location
8785 SW 165TH Ave Ste 103
Miami, FL 33193-5827
Mailing address
5641 Riverside Dr Apt 104
Coral Springs, FL 33067-2908
Phone (754) 246-3422
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-19-82611 | FL | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1563408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565827200000",
"number": "1154974285",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5641 RIVERSIDE DR APT 104",
"city": "CORAL SPRINGS",
"state": "FL",
"postal_code": "330672908",
"telephone_number": "754-246-3422"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8785 SW 165TH AVE STE 103",
"city": "MIAMI",
"state": "FL",
"postal_code": "331935827",
"telephone_number": "786-206-6500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOSS",
"first_name": "MICHAEL",
"middle_name": "ANTHONY",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-07-18",
"last_updated": "2019-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "FL",
"license": "RBT-19-82611",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.