Daniel Mora

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

901 Rio Grande Blvd NW Ste F146
Albuquerque, NM 87104-2055

Phone

(505) 302-5383

Fax

(505) 295-4189

NPI assigned

Aug 2, 2022

Sex

Male

Sole proprietor

No

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

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

{
    "created_epoch": "1659398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659398400000",
    "number": "1457088338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 RIO GRANDE BLVD NW STE F146",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871042055",
            "telephone_number": "505-302-5383",
            "fax_number": "505-295-4189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 RIO GRANDE BLVD NW STE F146",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871042055",
            "telephone_number": "505-302-5383",
            "fax_number": "505-295-4189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORA",
        "first_name": "DANIEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-02",
        "last_updated": "2022-08-02",
        "certification_date": "2022-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "caminobehavioralhealth.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "901 Rio Grande Blvd NW Ste F146",
            "city": "Albuquerque",
            "state": "NM",
            "country_code": "US",
            "postal_code": "871042055",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Alisa Marie Moortgat, INTERN
• Naomi Moppert
• Marliss Moquino, CCHW
• Alisha Maria Mora
• Anthony Mora
• Genette Rachel Mora, LMFT
• Liliana Christina Mora, DDS
• Miriam Edith Mora
• Myranda Marie Mora
• Phillip Adam Mora Jr., CPSW

• Behavior Technician in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Behavior Technician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 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.