David Alejandro Moreno

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

220 E Main St Ste 1
Mankato, MN 56001-3574

Phone

(517) 604-8252

NPI assigned

Sep 22, 2019

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

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": "1569110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569110400000",
    "number": "1467003442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1127 SOUTHRIDGE RD",
            "city": "NEW ULM",
            "state": "MN",
            "postal_code": "560733655",
            "telephone_number": "517-604-8252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 E MAIN ST STE 1",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560013574",
            "telephone_number": "517-604-8252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORENO",
        "first_name": "DAVID",
        "middle_name": "ALEJANDRO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-09-22",
        "last_updated": "2019-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daeja Genevieve Essie Moore
• Heather Moore
• Linnea Mary Moore, BA
• Melanie Moore, RPH
• Bailey Alexander More
• Emily Ann Morgan
• Scott M Morgan, L.I.C.S.W.
• Kelsey Elizabeth Mork, PA-C
• Lindsey Marie Mork
• Marisa Jo Morlock, PA-C

• Behavior Analyst in Mankato, MN
• Providers in Mankato, MN by specialty
• Behavior Analyst in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2019; 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.