Amy Katherine Moser, MA, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-21-47387 Issued in GA

Practice address

2121 Newmarket Pkwy SE Ste 130
Marietta, GA 30067-9309

Phone

(678) 486-1911

Fax

(317) 520-8200

NPI assigned

Aug 19, 2020

Last updated

Feb 28, 2024By the provider in NPPES

Sex

Female

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

Credentials

Master of Arts

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Hopebridge, LLC

  • Child & Adolescent Psychiatry Physician
  • Kokomo, IN
  • NPI 1891820668

  Behavior Analyst

  NPD (past)

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

{
    "created_epoch": "1597795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709078400000",
    "number": "1205448438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 DEPAUW BLVD STE 3070",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462686135",
            "telephone_number": "855-324-0885",
            "fax_number": "317-520-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 NEWMARKET PKWY SE STE 130",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300679309",
            "telephone_number": "678-486-1911",
            "fax_number": "317-520-8200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1558 E Boulevard Ste A",
            "address_purpose": "LOCATION",
            "city": "Kokomo",
            "state": "IN",
            "postal_code": "469022479",
            "country_code": "US",
            "telephone_number": "765-252-0530",
            "fax_number": "317-520-8200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2651 Dallas Hwy SW",
            "address_purpose": "LOCATION",
            "city": "Marietta",
            "state": "GA",
            "postal_code": "300642541",
            "country_code": "US",
            "telephone_number": "678-486-1904",
            "fax_number": "317-520-8200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3781 Bayley Dr Ste B",
            "address_purpose": "LOCATION",
            "city": "Lafayette",
            "state": "IN",
            "postal_code": "479058657",
            "country_code": "US",
            "telephone_number": "765-201-4767",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "551 Eastport Centre Dr",
            "address_purpose": "LOCATION",
            "city": "Valparaiso",
            "state": "IN",
            "postal_code": "463832898",
            "country_code": "US",
            "telephone_number": "219-255-2454",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6925 Parkdale Pl",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462544673",
            "country_code": "US",
            "telephone_number": "317-597-4553",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "399 Hospital Ln",
            "address_purpose": "LOCATION",
            "city": "Terre Haute",
            "state": "IN",
            "postal_code": "478024394",
            "country_code": "US",
            "telephone_number": "812-645-2308",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOSER",
        "first_name": "AMY",
        "middle_name": "KATHERINE",
        "credential": "MA, BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-19",
        "last_updated": "2024-02-28",
        "certification_date": "2024-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "GA",
            "license": "1-21-47387",
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "IN",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Lynn Morton, MSN, ACNP
• Kevin Morton
• Sasha Geathers Morton, NP-C
• Jayla N Mosby
• Mose and Garrison Siskin Memorial Foundation (Siskin Center for Developmental Pediatrics)
• Kate Moses-Uboh
• Marjorie Ann Mosher, PT, DPT, MTC
• Marc Moskowitz, DDS
• Nicole Mosley, NP
• Gilda Moss-Traore, FNP

• Behavior Analyst in Marietta, GA
• Providers in Marietta, GA by specialty
• Behavior Analyst in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2024; 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.