Active NPI
Angela Moore, RBT
- Behavior Technician
- Lewisville, TX
National Provider Identifier
1902356637
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-16-12955
- Practice address
- 190 Civic Cir
Ste. 210
Lewisville, TX 75067-3424 - Phone
- (972) 219-1200
- Fax
- (972) 317-4422
- NPI assigned
- Oct 5, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-16-12955 | TX | Primary |
Addresses
Primary practice location
190 Civic Cir
Ste. 210
Lewisville, TX 75067-3424
Mailing address
190 Civic Cir
Ste. 210
Lewisville, TX 75067-3424
Phone (972) 219-1200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RBT-16-12955 | Other | TX | REGISTERED BEHAVIOR TECHNICIAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-16-12955 | TX | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Achieve Beyond of Texas, LLC | Behavior Technician | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1475625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1475625600000",
"number": "1902356637",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "190 CIVIC CIR",
"address_2": "STE. 210",
"city": "LEWISVILLE",
"state": "TX",
"postal_code": "750673424",
"telephone_number": "972-219-1200",
"fax_number": "972-317-4422"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "190 CIVIC CIR",
"address_2": "STE. 210",
"city": "LEWISVILLE",
"state": "TX",
"postal_code": "750673424",
"telephone_number": "972-219-1200",
"fax_number": "972-317-4422"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE",
"first_name": "ANGELA",
"credential": "RBT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-10-05",
"last_updated": "2016-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "TX",
"license": "RBT-16-12955",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGISTERED BEHAVIOR TECHNICIAN",
"identifier": "RBT-16-12955",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lewisville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.