Individual provider Active NPI

Heather A Moore, MS

  • Behavior Analyst
  • Irving, TX
National Provider Identifier
1346562311
Registry record updated Feb 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
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

Updated by the provider on Feb 18, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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.

Verify at the official NPI Registry.