Individual provider Active NPI

Brenden Lee Moore

  • Behavior Analyst
  • Brentwood, TN
National Provider Identifier
1366048449
Registry record updated Jul 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1690 Issued in TN
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

Updated by the provider on Jul 21, 2026

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 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

LicenseStateTypeSpecialty
RBT-20-140736FLMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Positive Steps ABA LLC Behavior Analyst CurrentSince Mar 13, 2022 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.

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.

Verify at the official NPI Registry.