ALICIA M MOORE (NPI# 1184125544) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184125544 |
| Entity Type | Individual |
| Full Name | ALICIA M MOORE |
| Practice Address |
436 Station Ave South Yarmouth MA 02664-1208 |
| Mailing Address |
21600 Oxnard St Ste 1800 Woodland Hills CA 91367-7807 |
| Practice Telephone | 5086940102 |
| Enumeration Date | 2018-02-21 |
| Last Update Date | 2018-02-21 |
| 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 |
|---|---|---|---|---|
| 1356683148 | Alicia Shereese Moore | Counselor | 9027 Grouse Run Ln, Fayetteville, NC 28314-6120 | 2013-03-20 |
| 1083960090 | Alicia Rose Moore | Specialist | 1150 E 93rd St, Brooklyn, NY 11236-3743 | 2012-07-27 |
| 1144599523 | Alicia Brooke Moore | Registered Nurse | 16152 Windham, Fraser, MI 48026-2042 | 2011-12-14 |
| 1629363452 | Alicia Jessica Moore | Dentist | 12520 Prosperity Dr Ste 300, Silver Spring, MD 20904 | 2011-06-09 |
| 1023143583 | Alicia C Moore | Pharmacist | 19219 Ridgelake Dr, Lutz, FL 33549-8204 | 2007-02-23 |
| 1679116776 | Alicia Moore | Social Worker | 140 Michigan Ave W, Battle Creek, MI 49017-3602 | 2019-10-21 |
| 1194293654 | Alicia Moore | Home Health Aide | 2700 E. Sunset Rd., #17 Bldg B, Las Vegas, NV 89120-3508 | 2018-11-02 |
| 1003396425 | Alicia Moore | Behavior Technician | 41521 W 11 Mile Rd, Novi, MI 48375-1803 | 2018-08-15 |
| 1598254062 | Alicia Chaynel Moore | Dentist | 6532 Reisterstown Rd, Baltimore, MD 21215 | 2018-05-09 |
| 1114465721 | Alicia Ann Moore | Case Manager/Care Coordinator | 6100 S Walker Ave, Oklahoma City, OK 73139-7026 | 2017-02-02 |
| Street Address |
436 STATION AVE |
| City | SOUTH YARMOUTH |
| State | MA |
| Zip Code | 02664-1208 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447759329 | Jessica Blackwell | Behavior Technician | 436 Station Ave, South Yarmouth, MA 02664-1208 | 2018-02-06 |
| 1861962227 | Megan Couri | Behavior Technician | 436 Station Ave, South Yarmouth, MA 02664-1208 | 2018-11-28 |
| 1851878177 | Melissa Elizabeth Crohan | Behavioral Analyst | 436 Station Ave, South Yarmouth, MA 02664-1208 | 2018-07-20 |
| 1306322888 | Stephen Childs | Behavior Technician | 436 Station Ave, South Yarmouth, MA 02664-1208 | 2018-07-17 |
| 1528558590 | Alyssa Rodriguez | Behavioral Analyst | 436 Station Ave, South Yarmouth, MA 02664-1208 | 2018-05-15 |
| 1639668056 | Daniel Barroso | Behavior Technician | 436 Station Ave, South Yarmouth, MA 02664-1208 | 2018-05-02 |
| 1720576952 | Diane Marie Hershfield | Behavior Technician | 436 Station Ave, South Yarmouth, MA 02664-1208 | 2018-04-24 |
| 1285138800 | Mikaila Enos | Behavioral Analyst | 436 Station Ave, South Yarmouth, MA 02664-1208 | 2018-03-19 |
| 1730682402 | Jennifer Rachael Usowicz | Behavior Technician | 436 Station Ave, South Yarmouth, MA 02664-1208 | 2018-03-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730721648 | Taylor Drew | Behavior Technician | 435 Station Ave., Unit B, South Yarmouth, MA 02664 | 2019-10-11 |
| 1114428794 | Emily Rose Clark | Behavioral Analyst | 936b Station Ave, Yarmouth, MA 02664 | 2018-02-28 |
| 1124547906 | Kylie Joanne Zurn | Speech-Language Pathologist | 76 Phyllis Drive, South Yarmouth, MA 02664 | 2017-09-13 |
| 1841731338 | Meagan Pavao | Counselor | 31 Workshop Road, South Yarmouth, MA 02664 | 2017-03-16 |
| 1205296878 | Howayne A L Hamilton | Behavioral Analyst | 107 West Great Western Road, South Yarmouth, MA 02664 | 2016-02-25 |
| 1053656371 | Susan Elizabeth Davenport | Nurse Practitioner | 23 F. Whites Path, South Yarmouth, MA 02664 | 2012-11-28 |
| 1649444514 | Transitions Centers Inc. | Day Training, Developmentally Disabled Services | 782 Route 28, South Yarmouth, MA 02664 | 2008-04-22 |
| 1902934326 | David Mishkin | Clinical Neuropsychologist | 23p2 Union Station- Whites Path, S. Yarmouth, MA 02664 | 2007-02-28 |
| 1841343084 | Kristin Elizabeth Schmidt | Counselor | 50 Long Pond Dr, South Yarmouth, MA 02664 | 2007-01-19 |
| 1578628111 | Rhetta Annie Scott | Social Worker | 50 Long Pond Drive, South Yarmouth, MA 02664 | 2006-12-26 |
| Find all providers in zip 02664 | ||||
| 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 |
|---|---|---|---|---|
| 1730721648 | Taylor Drew | Behavior Technician | 435 Station Ave., Unit B, South Yarmouth, MA 02664 | 2019-10-11 |
| 1306318571 | Dazira Fulton | Behavior Technician | 436 Station Ave Unit B, South Yarmouth, MA 02664-1208 | 2018-12-27 |
| 1447759329 | Jessica Blackwell | Behavior Technician | 436 Station Ave, South Yarmouth, MA 02664-1208 | 2018-02-06 |
| 1629577648 | Bridget Newhard | Behavior Technician | 436 Station Ave # B, South Yarmouth, MA 02664-1208 | 2018-02-05 |
| 1992203749 | Catherine Sylvia Leger | Behavior Technician | 436b Station Ave, South Yarmouth, MA 02664-1208 | 2018-01-26 |
| 1811596828 | Chenoa De Souza | Behavior Technician | 436b Station Ave, South Yarmouth, MA 02664-1208 | 2020-10-21 |
| 1154933356 | Kara E Campbell | Behavior Technician | 436b Station Ave, South Yarmouth, MA 02664-1208 | 2020-08-19 |
| 1629603501 | Michael James Rufo | Behavior Technician | 436b Station Ave, South Yarmouth, MA 02664-1208 | 2020-03-11 |
| 1104450014 | Rebecca Cully | Behavior Technician | 436 Station Ave Unit B, South Yarmouth, MA 02664-1208 | 2020-02-29 |
| 1003449455 | Alex Mark Drown | Behavior Technician | 436b Station Ave, South Yarmouth, MA 02664-1208 | 2020-02-13 |
| Find all providers in SOUTH YARMOUTH | ||||
| City | SOUTH YARMOUTH |
| Zip Code | 02664 |
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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.