Mattelynn Ellise Moon

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

6200 SW Arctic Dr
Beaverton, OR 97005-9447

Phone

(458) 219-5557

NPI assigned

May 22, 2026

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1779408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779408000000",
    "number": "1295665834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 NE DEKUM ST APT 401",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972112982",
            "telephone_number": "458-219-5557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6200 SW ARCTIC DR",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970059447",
            "telephone_number": "458-219-5557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOON",
        "first_name": "MATTELYNN",
        "middle_name": "ELLISE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-05-22",
        "last_updated": "2026-05-22",
        "certification_date": "2026-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Montiel- Hernandez
• Jennifer Montijo
• Kimberlea Montoya
• Alan Mark Montrose, D.M.D.
• Mary Catherine Moody, FNP
• Courtney L Moore
• Elizabeth Adair Moore, AGPCNP-BC
• Jessica Moore, CRM
• Jessica C Moore
• Kelly Anne Moore, OT

• Behavior Technician in Beaverton, OR
• Providers in Beaverton, OR by specialty
• Behavior Technician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2026; 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.