Active NPI
Larissa Conner Moseley, M.S., BCBA
- Behavior Analyst
- Rocky Mount, NC
National Provider Identifier
1235977943
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 2140
- Practice address
- 150 N Church St
Rocky Mount, NC 27804 - Phone
- (252) 270-1001
- NPI assigned
- Jul 17, 2024
- 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 Analyst | 103K00000X | 2140 | NC | Primary |
Addresses
Primary practice location
150 N Church St
Rocky Mount, NC 27804
Mailing address
PO Box 749
Belmont, NC 28012-0749
Phone (704) 869-2088
Other names 1
- Larissa Elise Conner
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 Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2140 | NC | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grace Pediatric Therapy Services LLC | Behavior Analyst | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Behavior Analyst
- Roanoke Rapids, NC
- NPI 1932086022
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1721174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728518400000",
"number": "1235977943",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 749",
"city": "BELMONT",
"state": "NC",
"postal_code": "280120749",
"telephone_number": "704-869-2088"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 N CHURCH ST",
"city": "ROCKY MOUNT",
"state": "NC",
"postal_code": "27804",
"telephone_number": "252-270-1001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOSELEY",
"first_name": "LARISSA",
"middle_name": "CONNER",
"credential": "M.S., BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-07-17",
"last_updated": "2024-10-10",
"certification_date": "2024-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NC",
"license": "2140",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LARISSA",
"last_name": "CONNER",
"middle_name": "ELISE",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Rocky Mount, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 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.