Allyson Gayle Moore, M.S., BCBA, LMFT

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-04-2053 Issued in CA

Practice address

120 Peralta Ave
Mill Valley, CA 94941-3519

Phone

(510) 331-8490

NPI assigned

Jun 3, 2011

Sex

Female

Sole proprietor

Yes

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

Credentials

Master of Science

State licenses

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.

• Coryell Autism Center

  • Developmentally Disabled Services Day Training Agency
  • Aptos, CA
  • NPI 1861162034
  NPD (past)

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

{
    "created_epoch": "1307059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490227200000",
    "number": "1578857801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 189",
            "city": "MILL VALLEY",
            "state": "CA",
            "postal_code": "949420189",
            "telephone_number": "510-331-8490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 PERALTA AVE",
            "city": "MILL VALLEY",
            "state": "CA",
            "postal_code": "949413519",
            "telephone_number": "510-331-8490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "ALLYSON",
        "middle_name": "GAYLE",
        "name_prefix": "Ms.",
        "credential": "M.S., BCBA, LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-03",
        "last_updated": "2017-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-04-2053",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "48029",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zeljko Milovanovic, M.D.
• Natalie Alyssa Milton, DR
• Leslie Y Miya, MD
• Danielle Rene Miyasato, PHD
• Stephen P Mongiello, PT
• Caitlin S. Moore, MA
• Mary Saunders Moore, LMFT
• Tammara J Moore, DPT, OCS
• Eloisa Anguiano Morfin, OD
• Laura J Morgan, MFT

• Behavior Analyst in Mill Valley, CA
• Providers in Mill Valley, CA by specialty
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 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.