Active NPI
Marion Moore, PH,D., BCBA-D
- Behavior Analyst
- Cheney, WA
National Provider Identifier
1699168344
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-13-14325
- Practice address
- 12412 W Orchard Ter
Cheney, WA 99004-9144 - Phone
- (509) 990-6986
- NPI assigned
- Mar 5, 2015
- Sex
- Female
- Sole proprietor
- Yes
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 Analyst | 103K00000X | 1-13-14325 | Primary |
Addresses
Primary practice location
12412 W Orchard Ter
Cheney, WA 99004-9144
Mailing address
12412 W Orchard Ter
Cheney, WA 99004-9144
Phone (509) 990-6986
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1425513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1425513600000",
"number": "1699168344",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12412 W ORCHARD TER",
"city": "CHENEY",
"state": "WA",
"postal_code": "990049144",
"telephone_number": "509-990-6986"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12412 W ORCHARD TER",
"city": "CHENEY",
"state": "WA",
"postal_code": "990049144",
"telephone_number": "509-990-6986"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE",
"first_name": "MARION",
"credential": "PH,D., BCBA-D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-03-05",
"last_updated": "2015-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": "1-13-14325",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cheney, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.