Individual provider Active NPI

Amber Moore

  • Behavior Analyst
  • Elgin, SC
National Provider Identifier
1376046318
Registry record updated May 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-22-58694 Issued in CA
Practice address
708 S Long Star Way
Elgin, SC 29045-8575
Phone
(424) 227-2024
NPI assigned
Mar 15, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 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 1-22-58694 CA Primary

Addresses

Primary practice location

708 S Long Star Way
Elgin, SC 29045-8575

Mailing address

1610 W 126TH St
Los Angeles, CA 90047-5226
Phone (424) 227-2024

Other practice location 1

2764 Pleasant Rd # A872
Fort Mill, SC 29708-7213
Phone (480) 616-4632

Other practice location 2

70 Rowe St NE
Atlanta, GA 30307-2959
Phone (424) 227-2024

Other practice location 3

1610 W 126th St
Los Angeles, CA 90047-5226
Phone (424) 227-2024

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

Practice roles

OrganizationSpecialtyStatusNew patients
Love Forward ABA LLC Behavior Analyst Current Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1521072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779408000000",
    "number": "1376046318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1610 W 126TH ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900475226",
            "telephone_number": "424-227-2024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "708 S LONG STAR WAY",
            "city": "ELGIN",
            "state": "SC",
            "postal_code": "290458575",
            "telephone_number": "424-227-2024"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2764 Pleasant Rd # A872",
            "address_purpose": "LOCATION",
            "city": "Fort Mill",
            "state": "SC",
            "postal_code": "297087213",
            "country_code": "US",
            "telephone_number": "480-616-4632",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "70 Rowe St NE",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303072959",
            "country_code": "US",
            "telephone_number": "424-227-2024",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1610 W 126th St",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900475226",
            "country_code": "US",
            "telephone_number": "424-227-2024",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOORE",
        "first_name": "AMBER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-15",
        "last_updated": "2026-05-22",
        "certification_date": "2026-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-22-58694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elgin, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 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.