Colin Gaeney Moore

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

11622253

Practice address

321 Fortune Blvd
Milford, MA 01757-1750

Phone

(508) 478-0207

Fax

(508) 634-6984

NPI assigned

Dec 13, 2010

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Positive Synergy Corporation

  • Behavior Analyst
  • Seekonk, MA
  • NPI 1225456510
  NPD (past)
• Positive Synergy Corporation

  • Speech-Language Pathologist
  • Seekonk, MA
  • NPI 1538643598
  NPD (past)

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

{
    "created_epoch": "1292198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1495584000000",
    "number": "1467755512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1573 FALL RIVER AVE",
            "city": "SEEKONK",
            "state": "MA",
            "postal_code": "02771",
            "telephone_number": "508-478-0207",
            "fax_number": "508-401-2696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 FORTUNE BLVD",
            "city": "MILFORD",
            "state": "MA",
            "postal_code": "017571750",
            "telephone_number": "508-478-0207",
            "fax_number": "508-634-6984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "COLIN",
        "middle_name": "GAENEY",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-12-13",
        "last_updated": "2017-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "11622253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marsha Jan Montgomery, CPD
• Sarah Michelle Montgomery, D.P.M.
• Lindsey Monti
• Insun Moon
• Anne Mooney
• Danielle Moore
• Harold R Moore, MD
• Joslyn C Moore
• Lisa B Moore, RN
• Pamela Moore

• Behavior Analyst in Milford, MA
• Providers in Milford, MA by specialty
• Behavior Analyst in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2017; 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.