Individual provider Active NPI

Cassidy Regina Moyer

  • Behavior Technician
  • Mechanicsburg, PA
National Provider Identifier
1992440358
Registry record updated Apr 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-21-192215 Issued in PA
Practice address
200 Bent Creek Blvd
Mechanicsburg, PA 17050-1938
Phone
(888) 726-4474
Fax
(570) 362-5112
NPI assigned
Apr 30, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 30, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-21-192215 PA Primary

Addresses

Primary practice location

200 Bent Creek Blvd
Mechanicsburg, PA 17050-1938

Mailing address

1081 Oak St Ste 3
Pittston, PA 18640-3716
Phone (888) 726-4774

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
RBT-21-192215PAMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Mission Autism Clinics LLC PastSince May 8, 2022 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": "1651276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651276800000",
    "number": "1992440358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1081 OAK ST STE 3",
            "city": "PITTSTON",
            "state": "PA",
            "postal_code": "186403716",
            "telephone_number": "888-726-4774",
            "fax_number": "570-362-5112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 BENT CREEK BLVD",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170501938",
            "telephone_number": "888-726-4474",
            "fax_number": "570-362-5112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOYER",
        "first_name": "CASSIDY",
        "middle_name": "REGINA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-30",
        "last_updated": "2022-04-30",
        "certification_date": "2022-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "PA",
            "license": "RBT-21-192215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mechanicsburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2022; 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.