Melieyah Moore
Individual provider Active NPI Behavior Technician · Wallace, NC
NPI 1992599534 · NPPES record last updated Apr 8, 2025
Key facts
- NPI
- 1992599534
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 133 Glendale Village LN
Wallace, NC 28466-1637 - Phone
- (910) 619-0846
- NPI assigned
- Apr 8, 2025
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 521967 | NC | MD | Nurse's Aide |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse's Aide | 376K00000X | 521967 | NC | |
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
133 Glendale Village LN
Wallace, NC 28466-1637
Mailing address
133 Glendale Village LN
Wallace, NC 28466-1637
Phone (910) 619-0846
Other providers in Wallace, NC
- Allison Mathis
- Victoria Baucom Matthews
- Cassandra McAllister
- Lindsey McCombie
- Alexandra Sumner Fallin Miller
- Beverly M Mott
- Courtney Elizabeth Munroe
- Myeyedr Optometry of North Carolina PLLC
- Catherine B Newkirk
- Ketoyia Newkirk
All providers in Wallace, NC · Behavior Technician in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 8, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.