Active NPI
Brenden Lee Moore
- Behavior Analyst
- Brentwood, TN
National Provider Identifier
1366048449
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1690
- Practice address
- 115 Eastpark Dr Ste 200
Brentwood, TN 37027-7548 - Phone
- (615) 535-2030
- Fax
- (853) 946-7015
- NPI assigned
- Dec 5, 2020
- Sex
- Male
- 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 | 1690 | TN | Primary |
Addresses
Primary practice location
115 Eastpark Dr Ste 200
Brentwood, TN 37027-7548
Mailing address
115 Eastpark Dr Ste 200
Brentwood, TN 37027-7548
Phone (615) 535-2030
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-20-140736 | FL | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Positive Steps ABA LLC | Behavior Analyst | Current | Accepting new patients |
Locations
1912 Dairy Rd
West Melbourne, FL 32904
Phone (321) 413-3366
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Behavior Analyst
- West Melbourne, FL
- NPI 1780201269
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784592000000",
"number": "1366048449",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 EASTPARK DR STE 200",
"city": "BRENTWOOD",
"state": "TN",
"postal_code": "370277548",
"telephone_number": "615-535-2030",
"fax_number": "853-946-7015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 EASTPARK DR STE 200",
"city": "BRENTWOOD",
"state": "TN",
"postal_code": "370277548",
"telephone_number": "615-535-2030",
"fax_number": "853-946-7015"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE",
"first_name": "BRENDEN",
"middle_name": "LEE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-12-05",
"last_updated": "2026-07-21",
"certification_date": "2026-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "TN",
"license": "1690",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brentwood, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.