John-Mark Miller Moore, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

3661 Hawks Landing Cir
Pace, FL 32571-9654

Phone

(904) 655-9223

NPI assigned

Mar 18, 2022

Last updated

Mar 18, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Moore Behavioral, LLC

  • Behavior Analyst
  • Pace, FL
  • NPI 1205639325
  NPD Authorized official
• Well Point Health

  • Family Nurse Practitioner
  • Pace, FL
  • NPI 1821899196

  Behavior Analyst

  NPD Authorized official

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

{
    "created_epoch": "1647561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647561600000",
    "number": "1750030730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3661 HAWKS LANDING CIR",
            "city": "PACE",
            "state": "FL",
            "postal_code": "325719654",
            "telephone_number": "904-655-9223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3661 HAWKS LANDING CIR",
            "city": "PACE",
            "state": "FL",
            "postal_code": "325719654",
            "telephone_number": "904-655-9223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "JOHN-MARK",
        "middle_name": "MILLER",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-03-18",
        "last_updated": "2022-03-18",
        "certification_date": "2022-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "019703100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicole Mitchell Frost
• Sydney Mock
• Modern Chiropractic of Florida (Modern Chiropractic)
• Momentum Physical Therapy LLC
• Moore Behavioral, LLC
• Laura Rae Demeter Morette, A.R.N.P.
• Janet M Morris, OD PA
• Viviane Vomero Morris, PT, MSC., PH.D.
• Whitney Lindsay Morris, MS, OTR/L
• Kathy J Mueller, BCBA

• Behavior Analyst in Pace, FL
• Providers in Pace, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2022; 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.