Leslie June Moore, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

1030 Wolfrum Rd
Weldon Spring, MO 63304-7795

Phone

(636) 685-0720

NPI assigned

Oct 28, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Developing Minds Therapy Services Inc.

  • Behavior Analyst
  • Saint Louis, MO
  • NPI 1740801869
  NPD (past)

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

{
    "created_epoch": "1572220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574380800000",
    "number": "1689217176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 WOLFRUM RD",
            "city": "WELDON SPRING",
            "state": "MO",
            "postal_code": "633047795",
            "telephone_number": "636-685-0720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 WOLFRUM RD",
            "city": "WELDON SPRING",
            "state": "MO",
            "postal_code": "633047795",
            "telephone_number": "636-685-0720"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "248 NE Barry Rd",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641552722",
            "country_code": "US",
            "telephone_number": "816-368-8120",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOORE",
        "first_name": "LESLIE",
        "middle_name": "JUNE",
        "name_prefix": "Ms.",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-28",
        "last_updated": "2019-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Catherine Meirink, LPC
• Christina Meyer, COTA/L
• Midwest Med Care LLC
• Christina Sophia Mitchell, PMHNP-BC
• Monticello Sleep Dentistry LLC
• Kristin Lynne Ober, M.A., CCC-SLP
• Goodluck Chibuike Okereke, DNP
• Julie Elizabeth Osterholt, LCSW
• Taylor Ottwell, MA, PLPC
• Muhammad Ovais, FPMHNP

• Behavior Analyst in Weldon Spring, MO
• Providers in Weldon Spring, MO by specialty
• Behavior Analyst in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2019; 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.