Active NPI
Dianna Moore, BCBA
- Behavior Analyst
- Charleston, SC
National Provider Identifier
1356991426
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-21-52603
- Practice address
- 170 Meeting St
Charleston, SC 29401-3153 - Phone
- (855) 832-6727
- NPI assigned
- Sep 19, 2019
- Reactivated
- Sep 21, 2026
- Last updated
- Sep 21, 2026
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-21-52603 | FL | Primary |
| Behavior Technician | 106S00000X | RBT-17-43537 | FL |
Addresses
Primary practice location
170 Meeting St
Charleston, SC 29401-3153
Mailing address
7108 S Kanner Hwy
Stuart, FL 34997-7462
Phone (855) 832-6727
Other practice location 1
495 Grand Blvd Ste 206
Miramar Beach, FL 32550-1897
Phone (855) 832-6727
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568851200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789948800000",
"number": "1356991426",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7108 S KANNER HWY",
"city": "STUART",
"state": "FL",
"postal_code": "349977462",
"telephone_number": "855-832-6727"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "170 MEETING ST",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294013153",
"telephone_number": "855-832-6727"
}
],
"practiceLocations": [
{
"address_1": "495 Grand Blvd Ste 206",
"address_purpose": "LOCATION",
"city": "Miramar Beach",
"state": "FL",
"postal_code": "325501897",
"country_code": "US",
"telephone_number": "855-832-6727",
"fax_number": "772-675-9100",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOORE",
"first_name": "DIANNA",
"credential": "BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-19",
"last_updated": "2026-09-21",
"certification_date": "2023-05-09",
"deactivation_date": "2026-08-20",
"reactivation_date": "2026-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "FL",
"license": "1-21-52603",
"primary": true
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "FL",
"license": "RBT-17-43537",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.