Alyanna Mae Moraga

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-22-63045

Practice address

18220 Harwood Ave Ste 3
Homewood, IL 60430-2151

Phone

(464) 216-4116

NPI assigned

Aug 13, 2020

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Behavely, LLC

  • Behavior Analyst
  • Homewood, IL
  • NPI 1174210272
  NPD Authorized official

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

{
    "created_epoch": "1597276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707177600000",
    "number": "1518578459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22159 E CHURCHILL DR",
            "city": "RICHTON PARK",
            "state": "IL",
            "postal_code": "604711152",
            "telephone_number": "708-979-2993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18220 HARWOOD AVE STE 3",
            "city": "HOMEWOOD",
            "state": "IL",
            "postal_code": "604302151",
            "telephone_number": "464-216-4116"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18154 Martin Ave Ste 1",
            "address_purpose": "LOCATION",
            "city": "Homewood",
            "state": "IL",
            "postal_code": "604302155",
            "country_code": "US",
            "telephone_number": "872-200-1366",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORAGA",
        "first_name": "ALYANNA MAE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-13",
        "last_updated": "2024-02-06",
        "certification_date": "2024-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "IL",
            "license": "BACB551138",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1-22-63045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mixed Inclusion
• Oluwadamilola Oluseyi Monehin
• John F. Moore, D.D.S.,M.S.
• Keeley Rae Moore, M.A. CCC-A
• Tina Moore
• Daisy Moraga
• Deborah Moraga, LMT
• Karen Morales, ED.S, MA
• Isabella Morenos
• Enchelle Renee Morris, LCPC

• Behavior Analyst in Homewood, IL
• Providers in Homewood, IL by specialty
• Behavior Analyst in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2024; 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.