STEPHANIE MOORE (NPI# 1174143432) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174143432 |
| Entity Type | Individual |
| Full Name | STEPHANIE MOORE |
| Practice Address |
3205 N Dustin Ave Farmington NM 87401-9229 |
| Mailing Address |
907 N Orchard Ave Farmington NM 87401-6099 |
| Practice Telephone | 5054021224 |
| Mailing Telephone | 5054021224 |
| Enumeration Date | 2020-04-16 |
| Last Update Date | 2020-04-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689299265 | Stephanie Angela Moore | Nurse Practitioner | 10850 Navajo Dr, New Port Richey, FL 34654-5233 | 2020-06-10 |
| 1386113421 | Stephanie Jade Moore | Counselor | 1104 Vine Street, Batesville, AR 72501-8638 | 2018-11-19 |
| 1609371285 | Stephanie Michelle Moore | Physical Therapy Assistant | 11618 Us Hwy 70 W Ste 100, Clayton, NC 27520-2276 | 2018-03-27 |
| 1134639891 | Stephanie Moore | Counselor | 418 Nw 6th St Ste 102, Grants Pass, OR 97526-2006 | 2017-10-09 |
| 1851711337 | Stephanie Moore | Health Educator | 2438 Laconia Avenue, Bronx, NY 10469 | 2014-04-23 |
| 1467752584 | Stephanie K Moore | Social Worker | 308 Indigo Drive, Cary, NC 27513-3322 | 2010-10-22 |
| 1275789448 | Stephanie Strong Moore | Dentist | 2025 Glennfield Lane, Augusta, GA 30909 | 2008-08-07 |
| 1376676585 | Stephanie Moore | Behavioral Analyst | 3904 Seasons Pt, Evansville, IN 47715-1389 | 2007-03-14 |
| 1740261486 | Stephanie A Moore | Internal Medicine | 55 Fruit St # 800, Department of Cardiovascular Medicine, Boston, MA 02114-2621 | 2005-11-09 |
| 1225032865 | Stephanie Moore | Clinical Neuropsychologist | 801 N Tustin Ave, #603, Santa Ana, CA 92705-3612 | 2005-06-10 |
| Street Address |
3205 N DUSTIN AVE |
| City | FARMINGTON |
| State | NM |
| Zip Code | 87401-9229 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164035192 | Jaylene Miller | Behavior Technician | 912 Fairgrounds Rd. Trl 36, Farmington, NM 87401 | 2020-08-28 |
| 1255940326 | John Andrew Martinez | Behavioral Analyst | 211 N Auburn, Farmington, NM 87401 | 2020-07-24 |
| 1598304990 | Chasitity Beulah Nez | Behavior Technician | 37 Rd 7101 #127, Farmington, NM 87401 | 2020-01-02 |
| 1205478575 | Micah Magee | Speech-Language Pathologist | Farmington High School, 2200 N. Sunset Ave, Farmington, NM 87401 | 2019-10-08 |
| 1831659754 | Lelilah Todacheene | Social Worker | 1204 Camina Real, Farmington, NM 87401 | 2019-03-25 |
| 1306323555 | Litany of Life | Counselor | 1010 Ridgeway Place, Farmington, NM 87401 | 2018-07-20 |
| 1093291213 | Brittany Bigham | Nurse Practitioner | 1001 W Broadway Ste E, Farmington, NM 87401 | 2018-07-11 |
| 1528556305 | Hairoun Home Health | Home Health | 1200 East 20th Street, Farmington, NM 87401 | 2018-04-26 |
| 1003338732 | Silver Tongue Speech & Voice, LLC | Clinic/Center | 3001 Northridge Dr Ste C, Farmington, NM 87401 | 2017-07-14 |
| 1902256621 | Capacity Builders Inc | Taxi | 418 W Broadway, Farmington, NM 87401 | 2016-06-14 |
| Find all providers in zip 87401 | ||||
| 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 |
|---|---|---|---|---|
| 1548869068 | Marian Kinsel | Behavior Technician | 5107 Loma Alto Dr, Farmington, NM 87402-8344 | 2020-10-26 |
| 1093314254 | Elise Vallejos | Behavior Technician | 6905 Alyssa Ct, Farmington, NM 87402-5088 | 2020-10-20 |
| 1063010726 | Daniela Villagran | Behavior Technician | 303 N Lorena Ave, Farmington, NM 87401-5858 | 2020-10-15 |
| 1013522200 | Kim Nguyen | Behavior Technician | 1148 N Wilow Wind Rd Unit 9, Farmington, UT 84025 | 2020-09-14 |
| 1922612787 | Julie Schrum | Behavior Technician | 751 Timberline Dr, Farmington, MO 63640-7800 | 2020-08-31 |
| 1720691769 | Neldine Tsiniginie | Behavior Technician | 16 Road 5803, Farmington, NM 87401-9558 | 2020-08-28 |
| 1164035192 | Jaylene Miller | Behavior Technician | 912 Fairgrounds Rd. Trl 36, Farmington, NM 87401 | 2020-08-28 |
| 1861000960 | Cailin Green | Behavior Technician | 5614 Fairway Dr, Farmington, NM 87402-5027 | 2020-07-15 |
| 1700405644 | Laura Michelle Johnson | Behavior Technician | 1 San Jewell Dr, Farmington, MO 63640-3308 | 2020-04-10 |
| 1629603238 | Marquita James | Behavior Technician | 904 Glade Ln Apt 102, Farmington, NM 87401-4074 | 2020-03-04 |
| Find all providers in FARMINGTON | ||||
| City | FARMINGTON |
| Zip Code | 87401 |
Please comment or provide details below to improve the information on STEPHANIE MOORE.
| 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.