Individual provider Active NPI

Rita Moran

  • Behavior Analyst
  • Kingston, PA
National Provider Identifier
1518580778
Registry record updated May 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
BH003520 Issued in PA
Practice address
1003 Wyoming Ave
Kingston, PA 18704-4002
Phone
(570) 846-0455
NPI assigned
May 22, 2020
Last updated
May 22, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X BH003520 PA Primary

Addresses

Primary practice location

1003 Wyoming Ave
Kingston, PA 18704-4002

Mailing address

1003 Wyoming Ave
Kingston, PA 18704-4002

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

State licenses

LicenseStateTypeSpecialty
BH003520PAMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Beyond Behavior Consulting Behavior Analyst CurrentSince Nov 21, 2021 Accepting new patients
Beyond Behavior Consulting Behavior Analyst PastSince May 24, 2020 Accepting new patients

Locations

1003 Wyoming Ave
Kingston, PA 18704
Phone (570) 764-0300

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1590105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590105600000",
    "number": "1518580778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1003 WYOMING AVE",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187044002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1003 WYOMING AVE",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187044002",
            "telephone_number": "570-846-0455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORAN",
        "first_name": "RITA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-22",
        "last_updated": "2020-05-22",
        "certification_date": "2020-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "PA",
            "license": "BH003520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingston, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2020; 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.