Maureen Anne Moore, MA, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-04-1770 Issued in CA

Practice address

17203 Ventura Blvd
Suite 3
Encino, CA 91316-4051

Phone

(818) 501-3615

Fax

(818) 501-3649

NPI assigned

Mar 21, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

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 and National Provider Directory roles.

• Autism Behavior Intervention, Inc.

  • Community/Behavioral Health Agency
  • Encino, CA
  • NPI 1205101342
  NPD (past)

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

{
    "created_epoch": "1332288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332288000000",
    "number": "1255606307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17203 VENTURA BLVD",
            "address_2": "SUITE 3",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913164051",
            "telephone_number": "818-501-3615",
            "fax_number": "818-501-3649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17203 VENTURA BLVD",
            "address_2": "SUITE 3",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913164051",
            "telephone_number": "818-501-3615",
            "fax_number": "818-501-3649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "MAUREEN",
        "middle_name": "ANNE",
        "credential": "MA, BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-21",
        "last_updated": "2012-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-04-1770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lorraine Evette Montoya, MSOT, OTR/L
• Fatima Zahra Moon, PA-C
• Kirsty A Moon
• Moonlight Sleep Labs, LLC
• Lorri Moore, HHP
• Tomanisha Moore
• Ferzaad Moosa, M.D.
• Eliran Mor, M.D.
• Alexandra Moradians
• Brittany Moraga

• Behavior Analyst in Encino, CA
• Providers in Encino, CA by specialty
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2012; 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.