Tom Joe Moore, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-01-0585 Issued in FL

Practice address

2405 NW 63Rd Ter
Gainesville, FL 32606-6368

Phone

(352) 338-2854

Fax

(352) 332-8589

NPI assigned

Apr 8, 2011

Sex

Male

Sole proprietor

Yes

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

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

{
    "created_epoch": "1302220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302220800000",
    "number": "1780974923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2405 NW 63RD TER",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326066368",
            "telephone_number": "352-338-2854",
            "fax_number": "352-332-8589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2405 NW 63RD TER",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326066368",
            "telephone_number": "352-338-2854",
            "fax_number": "352-332-8589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "TOM",
        "middle_name": "JOE",
        "name_prefix": "Mr.",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-04-08",
        "last_updated": "2011-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-01-0585",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEHAVIOR ANALYSIS CERTIFICATION BOARD",
            "identifier": "1-01-0585",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rachel E Moore, LMT
• Ronda Moore, DDS
• Sally Moore
• Tariana Moore, BCBA
• Timothy Rogers Moore, MD
• Tracee Moore, PH.D
• William Dalton Moore II, CRNA
• Zachary Wayne Moore, MD
• Briana Moorehead
• Michael Moorhouse, CRC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2011; 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.