Individual provider Active NPI

Moriah L. Hammock, M. ED., BCBA, LBA

  • Behavior Analyst
  • Louisville, KY
National Provider Identifier
1235718180
Registry record updated Jul 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
286230 Issued in KY
Practice address
8735 Old Bardstown Rd
Louisville, KY 40291
Phone
(757) 455-6100
NPI assigned
Apr 7, 2021
Last updated
Jul 17, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 286230 KY Primary

Addresses

Primary practice location

8735 Old Bardstown Rd
Louisville, KY 40291

Mailing address

4977 Veterans Memorial Hwy Apt 7
Brownsville, KY 42210-8404
Phone (325) 812-1873

Other names 1

  • Moriah L Johnson Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address m.hammock@aflaba.com Direct

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
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
286230KYMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Adaptive Community Support Services Inc PastSince Jul 23, 2023 Accepting new patients
Adaptive Community Support Services Inc Behavior Analyst PastSince Jul 23, 2023 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1617753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689552000000",
    "number": "1235718180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4977 VETERANS MEMORIAL HWY APT 7",
            "city": "BROWNSVILLE",
            "state": "KY",
            "postal_code": "422108404",
            "telephone_number": "325-812-1873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8735 OLD BARDSTOWN RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "40291",
            "telephone_number": "757-455-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMMOCK",
        "first_name": "MORIAH",
        "middle_name": "L.",
        "credential": "M. ED., BCBA, LBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-07",
        "last_updated": "2023-07-17",
        "certification_date": "2023-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "KY",
            "license": "286230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "m.hammock@aflaba.com",
            "affiliation": "N",
            "endpointDescription": "Direct Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Communication exchange use",
            "address_1": "8735 Old Bardstown Rd",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "40291",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MORIAH",
            "last_name": "JOHNSON",
            "middle_name": "L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 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.