Individual provider Active NPI

Lorneshia Moore, BCBA

  • Behavior Analyst
  • Tucker, GA
National Provider Identifier
1992213201
Registry record updated Jan 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-17-28641
Practice address
3760 Lavista Rd Ste 102
Tucker, GA 30084-5622
Phone
(678) 626-0557
NPI assigned
Jan 21, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-17-28641 Primary

Addresses

Primary practice location

3760 Lavista Rd Ste 102
Tucker, GA 30084-5622

Mailing address

3760 Lavista Rd Ste 102
Tucker, GA 30084-5622
Phone (678) 626-0557

Other identifiers 1

IdentifierTypeStateIssuer
1-17-28641OtherBCBA

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

Practice roles

OrganizationSpecialtyStatusNew patients
Applied Behavioral Approach Consulting, LLC CurrentSince Apr 28, 2024 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": "1516492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516492800000",
    "number": "1992213201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3760 LAVISTA RD STE 102",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300845622",
            "telephone_number": "678-626-0557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3760 LAVISTA RD STE 102",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300845622",
            "telephone_number": "678-626-0557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "LORNESHIA",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-21",
        "last_updated": "2018-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1-17-28641",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBA",
            "identifier": "1-17-28641",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucker, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2018; 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.