Active NPI
Jacob Allen Moore, RBT
- Behavior Technician
- Logansport, IN
National Provider Identifier
1386580264
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 719 Spencer St
Logansport, IN 46947-3583 - Phone
- (765) 434-2588
- NPI assigned
- Apr 24, 2026
- Sex
- Unspecified or another gender identity
- 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 Technician | 106S00000X | IN | Primary |
Addresses
Primary practice location
719 Spencer St
Logansport, IN 46947-3583
Mailing address
719 Spencer St
Logansport, IN 46947-3583
Phone (765) 434-2588
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RBT-26-532319 | Other | IN | BEHAVIOR ANALYST CERTIFICATION BOARD |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | HiRasmus | Hope Behavioral Services LLC |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1776988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776988800000",
"number": "1386580264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "719 SPENCER ST",
"city": "LOGANSPORT",
"state": "IN",
"postal_code": "469473583",
"telephone_number": "765-434-2588"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "719 SPENCER ST",
"city": "LOGANSPORT",
"state": "IN",
"postal_code": "469473583",
"telephone_number": "765-434-2588"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE",
"first_name": "JACOB",
"middle_name": "ALLEN",
"credential": "RBT",
"sole_proprietor": "NO",
"sex": "X",
"enumeration_date": "2026-04-24",
"last_updated": "2026-04-24",
"certification_date": "2026-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "IN",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BEHAVIOR ANALYST CERTIFICATION BOARD",
"identifier": "RBT-26-532319",
"state": "IN"
}
],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "HiRasmus",
"affiliation": "Y",
"affiliationName": "Hope Behavioral Services LLC",
"address_1": "719 Spencer St",
"city": "Logansport",
"state": "IN",
"country_code": "US",
"postal_code": "469473583",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Logansport, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 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.