Active NPI
Rebecca Michelle Moody, BCBA
- Behavior Analyst
- Cibolo, TX
National Provider Identifier
1700506375
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 4470 Green Valley Rd Ste 129
Cibolo, TX 78108-3064 - Phone
- (210) 776-7360
- NPI assigned
- Sep 1, 2022
- Last updated
- Aug 15, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | NU | Primary | |
| Behavior Technician | 106S00000X | NU |
Addresses
Primary practice location
4470 Green Valley Rd Ste 129
Cibolo, TX 78108-3064
Mailing address
4470 Green Valley Rd Ste 129
Cibolo, TX 78108-3064
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": "1661990400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692057600000",
"number": "1700506375",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4470 GREEN VALLEY RD STE 129",
"city": "CIBOLO",
"state": "TX",
"postal_code": "781083064"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4470 GREEN VALLEY RD STE 129",
"city": "CIBOLO",
"state": "TX",
"postal_code": "781083064",
"telephone_number": "210-776-7360"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOODY",
"first_name": "REBECCA",
"middle_name": "MICHELLE",
"credential": "BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-09-01",
"last_updated": "2023-08-15",
"certification_date": "2023-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cibolo, TX
- Mission Rehabilitation and Sports Medicine Limited Partnership
- Charlotte Mitchell, BCBA
- Mobile Motion Physical Therapy and Wellness Services
- Abdullah Asser Mohammed
- Diaa Elden Monaem, DDS,MS
- Helen Kinsey Morrison, CPNP-PC
- Jobelle Morse
- Chenoa Moten, LCSW
- Sylvia Jasmine Munoz
- Nasalgia Allergy, Asthma and Immunology Center
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.