Active NPI
Heather A Moore, MS
- Behavior Analyst
- Irving, TX
National Provider Identifier
1346562311
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-08-4203
- Practice address
- 6301 Campus Circle Drive East
Behavioral Innovations Suite 100a
Irving, TX 75063 - Phone
- (469) 374-0700
- Fax
- (469) 374-0800
- NPI assigned
- Feb 18, 2010
- 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 | 1-08-4203 | Primary |
Addresses
Primary practice location
6301 Campus Circle Drive East
Behavioral Innovations Suite 100a
Irving, TX 75063
Mailing address
6301 Campus Circle Drive East
Behavioral Innovations Suite 100a
Irving, TX 75063
Phone (469) 374-0700
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1266451200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1266451200000",
"number": "1346562311",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6301 CAMPUS CIRCLE DRIVE EAST",
"address_2": "BEHAVIORAL INNOVATIONS SUITE 100A",
"city": "IRVING",
"state": "TX",
"postal_code": "75063",
"telephone_number": "469-374-0700",
"fax_number": "469-374-0800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6301 CAMPUS CIRCLE DRIVE EAST",
"address_2": "BEHAVIORAL INNOVATIONS SUITE 100A",
"city": "IRVING",
"state": "TX",
"postal_code": "75063",
"telephone_number": "469-374-0700",
"fax_number": "469-374-0800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE",
"first_name": "HEATHER",
"middle_name": "A",
"name_prefix": "Mrs.",
"credential": "MS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-02-18",
"last_updated": "2010-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": "1-08-4203",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Irving, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.