Active NPI
Sara McNeil Moore, RBT
- Behavior Technician
- Fort Walton Beach, FL
National Provider Identifier
1962396853
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-25-4742-970219
- Practice address
- 103 Rickey Ave
Fort Walton Beach, FL 32547-2520 - Phone
- (850) 376-5624
- NPI assigned
- Jun 5, 2025
- Sex
- Female
- Sole proprietor
- No
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-25-4742-970219 | FL | MD | Behavior Technician |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-25-4742-970219 | FL | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
103 Rickey Ave
Fort Walton Beach, FL 32547-2520
Mailing address
223 Martisa Rd NW
Fort Walton Beach, FL 32548-4736
Phone (850) 999-3393
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 5, 2025.
{
"created_epoch": "1749081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749081600000",
"number": "1962396853",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "223 MARTISA RD NW",
"city": "FORT WALTON BEACH",
"state": "FL",
"postal_code": "325484736",
"telephone_number": "850-999-3393"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "103 RICKEY AVE",
"city": "FORT WALTON BEACH",
"state": "FL",
"postal_code": "325472520",
"telephone_number": "850-376-5624"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE",
"first_name": "SARA",
"middle_name": "MCNEIL",
"credential": "RBT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-06-05",
"last_updated": "2025-06-05",
"certification_date": "2025-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "FL",
"license": "RBT-25-4742-970219",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Walton Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 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.