Jeremiah Moore

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

203 YMCA Way
Glasgow, KY 42141-1195

Phone

(270) 576-3736

NPI assigned

Sep 3, 2026

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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

{
    "created_epoch": "1788393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788393600000",
    "number": "1861301970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3415 BATAAN MEMORIAL W",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880125012",
            "telephone_number": "505-392-3482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 YMCA WAY",
            "city": "GLASGOW",
            "state": "KY",
            "postal_code": "421411195",
            "telephone_number": "270-576-3736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "JEREMIAH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-09-03",
        "last_updated": "2026-09-03",
        "certification_date": "2026-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bharati B Mody, MD
• Amad Mohammad, MD
• Alexander Patrick Moore, DO
• Alexys Moore
• Chase Moore
• Stephanie Morgan
• Brandon T Morris
• Beverly Jo Mortimer, ARNP
• Morris D. Moss, M.D.
• Sandra Dotson Moss, M.D.

• Behavior Technician in Glasgow, KY
• Providers in Glasgow, KY by specialty
• Behavior Technician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.