ALSHA A MOON (NPI# 1396393427) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396393427 |
| Entity Type | Individual |
| Full Name | ALSHA A MOON |
| Practice Address |
5533 Livingston Dr Fayetteville NC 28311-1839 |
| Mailing Address |
500 Fairway Dr Ste 102 Deerfield Beach FL 33441-1817 |
| Practice Telephone | 9842014002 |
| Mailing Telephone | 9842014002 |
| Enumeration Date | 2019-09-02 |
| Last Update Date | 2019-09-08 |
| 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 |
| Street Address |
5533 LIVINGSTON DR |
| City | FAYETTEVILLE |
| State | NC |
| Zip Code | 28311-1839 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700415205 | Marcella Eubanks | Physical Therapy Assistant | Rdl Therapeutic Outpatient Therapy, 424 Mcarthur Rd, Fayetteville, NC 28311 | 2020-04-06 |
| 1144856709 | Laura Johnson | Occupational Therapy Assistant | 424 Mcarthur Rd., Fayetteville, NC 28311 | 2020-03-16 |
| 1326507096 | Senior Transportationl.l.c. | Private Vehicle | 164 Tallstone Dr, Fayetteville, NC 28311 | 2019-03-13 |
| 1154850998 | Shannon Marcella Chapman | Physical Therapist | 4140 Ramsey St Ste 110, Fayetteville, NC 28311 | 2017-06-06 |
| 1306392048 | Gena Oxendine | Counselor | 223 Glenola St, Fayetteville, NC 28311 | 2016-09-01 |
| 1023564010 | Rachel Sokolowski | Physical Therapy Assistant | 231 Treetop Dr., Fayetteville, NC 28311 | 2016-08-30 |
| 1285984765 | Towanaka Yvette Bass | Home Health Aide | 5688 Dobson Drive, Fayetteville, NC 28311 | 2012-09-12 |
| 1255574448 | Amy E. Southworth | Occupational Therapist | 3409 Connection Rd, Fayetteville, NC 28311 | 2009-04-17 |
| 1922246818 | Calhoun Family Pharmacy Inc | Pharmacy | 4417 Ramsey Street, Fayetteville, NC 28311 | 2009-01-30 |
| 1003051210 | Us Army | Clinic/Center | 5587 Lockridge Road, Fayetteville, NC 28311 | 2008-12-03 |
| Find all providers in zip 28311 | ||||
| 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 |
|---|---|---|---|---|
| 1629675137 | Vera Jacobs | Behavior Technician | 205 White Tail Ct, Fayetteville, GA 30214-4923 | 2020-10-07 |
| 1497361141 | Gita Krishna | Behavior Technician | 351 Wagoner Dr Ste 325, Fayetteville, NC 28303-4674 | 2020-09-18 |
| 1295351070 | Judy Jenkins Alexander | Behavior Technician | 917b Laurel St, Fayetteville, NC 28303-4046 | 2020-06-17 |
| 1467077180 | Kayla Ann Disanti | Behavior Technician | 447 Tradewinds Dr Apt H, Fayetteville, NC 28314-2496 | 2020-06-09 |
| 1164056081 | Khadijah Lurene Bean | Behavior Technician | 3450 Dorado Cir Apt 301, Fayetteville, NC 28304-0635 | 2020-02-29 |
| 1255970745 | Charna Patrice Mcnair | Behavior Technician | 5741 Dobson Dr, Fayetteville, NC 28311-3452 | 2019-12-31 |
| 1730738204 | Tachi Alexis Hogans | Behavior Technician | 1016 Issac Dock Dr, Fayetteville, NC 28314-8425 | 2019-09-08 |
| 1366991788 | Jintana Cutno Wiggins | Behavior Technician | 2008 Wheeling St, Fayetteville, NC 28303-6330 | 2016-09-27 |
| 1720482904 | Denise Travolina | Behavior Technician | 1541 Laurel Oak Dr, Fayetteville, NC 28314-6221 | 2014-10-16 |
| 1427659598 | Jessica Foster | Behavior Technician | 126 Pavilion Pkwy, Fayetteville, GA 30214-4056 | 2020-11-05 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 28311 |
Please comment or provide details below to improve the information on ALSHA A MOON.
| 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.