Individual provider Active NPI

Setareh Dehghani Moslemi, M.ED., BCBA

  • Behavior Analyst
  • Little Elm, TX
National Provider Identifier
1538516232
Registry record updated Nov 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
11621912
Practice address
2301 Leeward PL
Little Elm, TX 75068-6319
Phone
(408) 666-7363
NPI assigned
May 23, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 16, 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 11621912 Primary

Addresses

Primary practice location

2301 Leeward PL
Little Elm, TX 75068-6319

Mailing address

2301 Leeward PL
Little Elm, TX 75068-6319
Phone (408) 666-7363

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
Credentials
Master of Education

Practice roles

OrganizationSpecialtyStatusNew patients
Brilliant Stars ABA, LLC Behavior Analyst CurrentSince Nov 22, 2020 Accepting new patients
Brent Woodall Foundation for Exceptional Children Behavior Analyst Past Accepting new patients
Brent Woodall Foundation for Exceptional Children Behavior Analyst Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1463961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605484800000",
    "number": "1538516232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 LEEWARD PL",
            "city": "LITTLE ELM",
            "state": "TX",
            "postal_code": "750686319",
            "telephone_number": "408-666-7363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 LEEWARD PL",
            "city": "LITTLE ELM",
            "state": "TX",
            "postal_code": "750686319",
            "telephone_number": "408-666-7363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSLEMI",
        "first_name": "SETAREH",
        "middle_name": "DEHGHANI",
        "credential": "M.ED., BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-23",
        "last_updated": "2020-11-16",
        "certification_date": "2020-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "11621912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Elm, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 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.