Stacie Moran

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-24-74764 Issued in CA

Practice address

9518 9TH St Ste C-1
Rancho Cucamonga, CA 91730-4568

Phone

(800) 434-8923

NPI assigned

Oct 28, 2019

Sex

Female

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1572220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726099200000",
    "number": "1245873785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9518 9TH ST",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917304585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9518 9TH ST STE C-1",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917304568",
            "telephone_number": "800-434-8923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORAN",
        "first_name": "STACIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-28",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-24-74764",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CA",
            "license": "RBT-19-75344",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vanessa Morales
• Celeste Moran
• Julissa Moran
• Natalie Danielle Moran, PA-C
• Riley Seana Moran
• Tanya Jeannet Moreno Tolossa, CHW
• Karla Berenice Moreno-Cortez
• David Moreno
• Isabella Moreno
• Jasmin Marcell Moreno

• Behavior Analyst in Rancho Cucamonga, CA
• Providers in Rancho Cucamonga, CA by specialty
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 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.