MARY MOORE (NPI# 1154930287) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154930287 |
| Entity Type | Individual |
| Full Name | MARY MOORE |
| Practice Address |
537 Deltona Blvd Deltona FL 32725-8017 |
| Practice Telephone | 9048788683 |
| Practice Fax Number | 3862005752 |
| Mailing Telephone | 9048788683 |
| Mailing Fax Number | 3862005752 |
| Enumeration Date | 2020-07-24 |
| Last Update Date | 2020-07-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780215467 | Mary Major Moore | Massage Therapist | 335 Ne 4th St # Dt, Bend, OR 97701-5162 | 2020-01-30 |
| 1205205804 | Mary Rose Moore | Nurse Practitioner | 1443 Richmond Road, Lyndhurst, OH 44124 | 2015-09-24 |
| 1063654192 | Mary G Moore | Counselor | 103 William Dr, Normal, IL 61761-1862 | 2009-04-06 |
| 1588812325 | Mary Moore | Occupational Therapist | 6801 Copra Ln, Louisville, KY 40219-2156 | 2008-09-05 |
| 1275796625 | Mary Moore | Advanced Practice Midwife | 4118 Winnemac Ave, Madison, WI 53711-1645 | 2008-07-07 |
| 1023288123 | Mary Elizabeth Moore | Registered Nurse | 1064 Independence Ave, Akron, OH 44310 | 2008-03-04 |
| 1861672347 | Mary Patricia Moore | Psychiatry & Neurology | 280 Broad St Ste E, Kernersville, NC 27284-2948 | 2007-11-13 |
| 1134314263 | Mary Margaret Moore | Dermatology | 7435 Highway 6 Ste B, Missouri City, TX 77459-4698 | 2007-09-11 |
| 1871799957 | Mary E Moore | Psychologist | 325 W Hospitality Lane, Suite 310, San Bernandino, CA 92408-3212 | 2007-06-25 |
| 1578629309 | Mary A Moore | Social Worker | 19206 Huebner, Ste 104, San Antonio, TX 78258-9800 | 2006-12-28 |
| Street Address |
537 DELTONA BLVD |
| City | DELTONA |
| State | FL |
| Zip Code | 32725-8017 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073166021 | Celia Culbertson | Behavior Technician | 537 Deltona Blvd, Deltona, FL 32725-8017 | 2019-07-18 |
| 1619578804 | Jessica Chavis | Behavior Technician | 537 Deltona Blvd, Deltona, FL 32725-8017 | 2020-11-04 |
| 1306447800 | Josephina Stitts | Behavior Technician | 537 Deltona Blvd, Deltona, FL 32725-8017 | 2020-11-03 |
| 1609475854 | Yashira Rosa-rodriguez | Behavior Technician | 537 Deltona Blvd, Deltona, FL 32725-8017 | 2020-10-20 |
| 1922606730 | Tulsi Patel | Behavior Technician | 537 Deltona Blvd, Deltona, FL 32725-8017 | 2020-10-14 |
| 1932706629 | Jasmine Rojas | Behavior Technician | 537 Deltona Blvd, Deltona, FL 32725-8017 | 2020-10-06 |
| 1659988160 | Madison Dykes-weller | Behavior Technician | 537 Deltona Blvd, Deltona, FL 32725-8017 | 2020-09-29 |
| 1407473507 | Savannah Bendik | Behavior Technician | 537 Deltona Blvd, Deltona, FL 32725-8017 | 2020-07-06 |
| 1861018426 | Alfred Taylor | Behavior Technician | 537 Deltona Blvd, Deltona, FL 32725-8017 | 2020-06-19 |
| 1770107047 | Mollybel Nunez | Behavior Technician | 537 Deltona Blvd, Deltona, FL 32725-8017 | 2020-06-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003465097 | Medical Center of Deltona, Inc. | General Acute Care Hospital | 3300 Halifax Crossings Blvd., Deltona, FL 32725 | 2019-09-11 |
| 1235674359 | Danielle Nichole Nussel | Behavioral Analyst | 1729 Templewood Ave, Deltona, FL 32725 | 2016-12-28 |
| 1023550498 | Deltona Alf Management | Assisted Living Facility | 2306 N Normandy Blvd, Deltona, FL 32725 | 2016-11-16 |
| 1245781806 | Advanced Medical Care, LLC | Family Medicine | 734 Elkham Blvd, Deltona, FL 32725 | 2016-10-19 |
| 1932500170 | Onshk LLC | Pharmacy | 2091 Saxon Blvd, Suite 100, Deltona, FL 32725 | 2014-09-08 |
| 1104239706 | Natalie Beecham-coppin | Social Worker | 323 Diamond Street, Deltona, FL 32725 | 2014-06-11 |
| 1871893826 | John E Peats | Speech-Language Pathologist | 2979 Wild Pepper Avenue, Deltona, FL 32725 | 2010-10-25 |
| 1558682328 | Lisa Krupa | Counselor | 667 Deltona Blvd., Deltona, FL 32725 | 2010-06-16 |
| 1730407917 | Robert E Kent | Physical Medicine & Rehabilitation | 813 Deltona Blvd, Deltona, FL 32725 | 2010-05-12 |
| 1922331982 | Orlando Vamc | Clinic/Center | 1200 Deltona Blvd Ste 41-47, Deltona, FL 32725 | 2009-09-09 |
| Find all providers in zip 32725 | ||||
| Taxonomy Code | 106S00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavior Technician |
| The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work. |
| Notes: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2016: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992337844 | Elizabeth Gutierrez | Behavior Technician | 2430 Vicki Ct, Deltona, FL 32725-2202 | 2020-02-09 |
| 1275176794 | Kyle Smith | Behavior Technician | 146 Highland Dr, Deltona, FL 32738-2262 | 2019-10-28 |
| 1073166021 | Celia Culbertson | Behavior Technician | 537 Deltona Blvd, Deltona, FL 32725-8017 | 2019-07-18 |
| 1386109460 | Barbara Ellen Davis | Behavior Technician | 624 Callaghan St # 12, Deltona, FL 32725-7013 | 2019-02-04 |
| 1801394028 | Daisy Montes | Behavior Technician | 568 Giralda Ave, Deltona, FL 32725-8321 | 2018-01-23 |
| 1083126296 | Nastassia Dominique Panaro | Behavior Technician | 1617 Fort Smith Blvd, Deltona, FL 32725-4805 | 2017-10-27 |
| 1619578804 | Jessica Chavis | Behavior Technician | 537 Deltona Blvd, Deltona, FL 32725-8017 | 2020-11-04 |
| 1306447800 | Josephina Stitts | Behavior Technician | 537 Deltona Blvd, Deltona, FL 32725-8017 | 2020-11-03 |
| 1609475854 | Yashira Rosa-rodriguez | Behavior Technician | 537 Deltona Blvd, Deltona, FL 32725-8017 | 2020-10-20 |
| 1922606730 | Tulsi Patel | Behavior Technician | 537 Deltona Blvd, Deltona, FL 32725-8017 | 2020-10-14 |
| Find all providers in DELTONA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.