Marlynn Aisha Moss

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

335 Archdale Dr
Charlotte, NC 28217-4212

Phone

(888) 392-8642

NPI assigned

Jan 6, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1672963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720483200000",
    "number": "1710691639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7427 BALANCING ROCK CT",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282624236",
            "telephone_number": "704-804-8763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "335 ARCHDALE DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282174212",
            "telephone_number": "888-392-8642"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7504 E Independence Blvd Ste 150",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282279472",
            "country_code": "US",
            "telephone_number": "910-260-4111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "875 Rays Bridge Rd",
            "address_purpose": "LOCATION",
            "city": "Whispering Pines",
            "state": "NC",
            "postal_code": "283275910",
            "country_code": "US",
            "telephone_number": "910-260-4111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOSS",
        "first_name": "MARLYNN",
        "middle_name": "AISHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-06",
        "last_updated": "2024-07-09",
        "certification_date": "2024-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NC",
            "license": "RBT-21-165644",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://centralreach.com/",
            "affiliation": "N",
            "endpointDescription": "Central Reach ABA Platform",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "875 Rays Bridge Rd",
            "city": "Whispering Pines",
            "state": "NC",
            "country_code": "US",
            "postal_code": "283275910",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• David Scott Moss, M.D.
• Emory Ashton Moss, PHARMD
• James Anthony David Moss, NP
• John Edward Moss III, MSW
• Lindsey Meadows-Russ Moss, LCSW
• Sarah Goldstein Moss, OTR
• Moterum Health Services Management LLC
• Mother Nature'S Homegirl Dba Avp Nutrition
• Mother Nurture
• Motion Chiropractic PLLC

• Behavior Analyst in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Behavior Analyst in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2024; 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.