Active NPI
Charlotte Moore
- Behavior Analyst
- Raleigh, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1212
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| LBA.BA.61401233 | WA | MD | Behavioral Analyst |
| AB61280284 | WA | MD | Assistant Behavior Analyst |
| 1212 | NC | MD | Audiologist-Hearing Aid Fitter |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Washington Spectrum Schools | Current | Accepting new patients | |
| Learn With the Best LLC | Behavior Analyst | Current | 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.
-
- Behavior Analyst
- Raleigh, NC
- NPI 1376097626
-
- Community/Behavioral Health Agency
- Maple Valley, WA
- NPI 1609769157
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.