Individual provider Active NPI

Charlotte Moore

  • Behavior Analyst
  • Raleigh, NC
National Provider Identifier
1902472137
Registry record updated Aug 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1212 Issued in NC
Practice address
4900 Waters Edge Dr Ste 100
Raleigh, NC 27606-5662
Phone
(919) 303-1255
NPI assigned
May 28, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X LBA.BA.61401233 WA
Assistant Behavior Analyst 106E00000X AB61280284 WA
Behavior Technician 106S00000X
Behavior Analyst 103K00000X 1212 NC Primary

Addresses

Primary practice location

4900 Waters Edge Dr Ste 100
Raleigh, NC 27606-5662

Mailing address

1108 E Millbrook Rd
Raleigh, NC 27609-5467

Other practice location 1

15501 Weston Pkwy Ste 150
Cary, NC 27513-8638
Phone (919) 275-3272

Other practice location 2

22415 SE 231st St Ste B103
Maple Valley, WA 98038-5002
Phone (425) 906-4300

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

LicenseStateTypeSpecialty
LBA.BA.61401233WAMDBehavioral Analyst
AB61280284WAMDAssistant Behavior Analyst
1212NCMDAudiologist-Hearing Aid Fitter

Practice roles

OrganizationSpecialtyStatusNew patients
Washington Spectrum Schools CurrentSince Jun 8, 2025 Accepting new patients
Learn With the Best LLC Behavior Analyst CurrentSince Aug 25, 2025 Accepting new patients

Locations

4900 Waters Edge Dr
Ste 100
Raleigh, NC 27606
Phone (919) 303-1255

22415 SE 231st St
Ste B103
Maple Valley, WA 98038
Phone (425) 906-4300

Organizations & group practices 2

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": "1622160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755648000000",
    "number": "1902472137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1108 E MILLBROOK RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276095467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4900 WATERS EDGE DR STE 100",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276065662",
            "telephone_number": "919-303-1255"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15501 Weston Pkwy Ste 150",
            "address_purpose": "LOCATION",
            "city": "Cary",
            "state": "NC",
            "postal_code": "275138638",
            "country_code": "US",
            "telephone_number": "919-275-3272",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "22415 SE 231st St Ste B103",
            "address_purpose": "LOCATION",
            "city": "Maple Valley",
            "state": "WA",
            "postal_code": "980385002",
            "country_code": "US",
            "telephone_number": "425-906-4300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOORE",
        "first_name": "CHARLOTTE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-28",
        "last_updated": "2025-08-20",
        "certification_date": "2025-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "WA",
            "license": "LBA.BA.61401233",
            "primary": false
        },
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "WA",
            "license": "AB61280284",
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NC",
            "license": "1212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2025; 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.