Emmalee Grace Moss

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

Y8150478 Issued in CA

Practice address

7431 Magnolia Ave Apt 223
Riverside, CA 92504-3854

Phone

(951) 233-4055

NPI assigned

Jan 10, 2022

Last updated

Jan 10, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1641772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641772800000",
    "number": "1366193575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "662 ENCINITAS BLVD STE 208",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920246789",
            "telephone_number": "760-634-1125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7431 MAGNOLIA AVE APT 223",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925043854",
            "telephone_number": "951-233-4055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSS",
        "first_name": "EMMALEE",
        "middle_name": "GRACE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-10",
        "last_updated": "2022-01-10",
        "certification_date": "2022-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CA",
            "license": "Y8150478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "9512334055",
            "affiliation": "N",
            "endpointDescription": "Cell Phone",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "7431 Magnolia Ave Apt 223",
            "city": "Riverside",
            "state": "CA",
            "country_code": "US",
            "postal_code": "925043854",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Ben Moshrefi, D.C.
• Shaida Moshrefi, D.C
• Nia Aaleya Mosley
• Aaron Mosqueda
• Michelle Mosqueda
• Jocelyn Kena Moss
• Kharvena Moss
• Sarah Marie Moss, LMFT
• Laila Mossadak
• Michael Sanchez Mostajo

• Behavior Technician in Riverside, CA
• Providers in Riverside, CA by specialty
• Behavior Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2022; 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.