Moesha Bazile
Individual provider Active NPI Behavior Technician · Newburgh, IN
NPI 1861367948 · NPPES record last updated Oct 8, 2025
Key facts
- NPI
- 1861367948
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 3777 Haley Dr
Newburgh, IN 47630-2608 - Phone
- (812) 490-0904
- NPI assigned
- Oct 8, 2025
- Sex
- Unspecified or another gender identity
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
3777 Haley Dr
Newburgh, IN 47630-2608
Mailing address
550 Congressional Blvd Ste 115
Carmel, IN 46032-5644
Phone (765) 269-7756
Other providers in Newburgh, IN
- Cindy Maiden Basinski
- Joni Bassett
- Alexander Bassetti
- Alexia Bastin
- Danielle Baughman
- Kennedy Beaven
- Brittany Beck
- Tiffany Dawn Beck
- Steven G Becker
- Caitlyn Beckinger
All providers in Newburgh, IN · Behavior Technician in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 8, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.