Active NPI
Tawana Moise
- Behavior Technician
- Bowie, MD
National Provider Identifier
1669140984
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- M200800977040
- Practice address
- 6601 Willow Creek Rd
Bowie, MD 20720-3324 - Phone
- (301) 755-4021
- NPI assigned
- Sep 1, 2021
- Last updated
- Apr 30, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | M200800977040 | FL | Primary |
Addresses
Primary practice location
6601 Willow Creek Rd
Bowie, MD 20720-3324
Mailing address
6911 Laurel Bowie Rd Ste 309
Bowie, MD 20715-1712
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
| License | State | Type | Specialty |
|---|---|---|---|
| M200800977040 | FL | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Autastic ABA Therapy | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Behavioral Health Agency
- Bowie, MD
- NPI 1356948004
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630454400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745971200000",
"number": "1669140984",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6911 LAUREL BOWIE RD STE 309",
"city": "BOWIE",
"state": "MD",
"postal_code": "207151712"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6601 WILLOW CREEK RD",
"city": "BOWIE",
"state": "MD",
"postal_code": "207203324",
"telephone_number": "301-755-4021"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOISE",
"first_name": "TAWANA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-09-01",
"last_updated": "2025-04-30",
"certification_date": "2025-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "FL",
"license": "M200800977040",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bowie, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.