Active NPI
Stacey Debra Moses
- Behavior Technician
- Franklin Lakes, NJ
National Provider Identifier
1356183552
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-23-283204
- Practice address
- 785 Franklin Lake Rd
Franklin Lakes, NJ 07417-2225 - Phone
- (201) 891-4250
- NPI assigned
- Jun 10, 2024
- 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 Technician | 106S00000X | RBT-23-283204 | NJ | Primary |
Addresses
Primary practice location
785 Franklin Lake Rd
Franklin Lakes, NJ 07417-2225
Mailing address
400 Tenafly Rd
Tenafly, NJ 07670-7000
Phone (201) 777-4557
Other practice location 1
400 Tenafly Rd
Tenafly, NJ 07670-7000
Phone (201) 777-4557
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-23-283204 | NJ | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1717977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717977600000",
"number": "1356183552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 TENAFLY RD",
"city": "TENAFLY",
"state": "NJ",
"postal_code": "076707000",
"telephone_number": "201-777-4557"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "785 FRANKLIN LAKE RD",
"city": "FRANKLIN LAKES",
"state": "NJ",
"postal_code": "074172225",
"telephone_number": "201-891-4250"
}
],
"practiceLocations": [
{
"address_1": "400 Tenafly Rd",
"address_purpose": "LOCATION",
"city": "Tenafly",
"state": "NJ",
"postal_code": "076707000",
"country_code": "US",
"telephone_number": "201-777-4557",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOSES",
"first_name": "STACEY",
"middle_name": "DEBRA",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-06-10",
"last_updated": "2024-06-10",
"certification_date": "2024-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "NJ",
"license": "RBT-23-283204",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Franklin Lakes, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.