ROBERT JOSEPH MOORE (NPI# 1457881369) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457881369 |
| Entity Type | Individual |
| Full Name | ROBERT JOSEPH MOORE |
| Credential | BS |
| Practice Address |
2700 Robert T Longway Blvd Flint MI 48503-2190 |
| Mailing Address |
1002 Williams St Vassar MI 48768-1139 |
| Practice Telephone | 8102573709 |
| Mailing Telephone | 5863448113 |
| Enumeration Date | 2017-06-13 |
| Last Update Date | 2017-06-13 |
| Gender Code | M |
| 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 |
|---|---|---|---|---|
| 1942868294 | Robert John Moore | Social Worker | 1633 Fairmount Ave, Philadelphia, PA 19130-2352 | 2019-06-02 |
| 1124683685 | Robert Hart Moore | Student in an Organized Health Care Education/Training Program | Vcuhs Dept of Surgery Residency 980118, 1250 E. Marshal Street, Richmond, VA 23298-0118 | 2019-05-09 |
| 1205354511 | Robert Lee Moore | Student in an Organized Health Care Education/Training Program | Medex Northwest 4311 11th Avenue Ne, Suite 200, Seattle, WA 98105 | 2017-09-07 |
| 1083091201 | Robert Moore | Specialist/Technologist | 11600 Mary Catherine Dr, Clinton, MD 20735-1040 | 2015-04-27 |
| 1497150015 | Robert Moore | Audiologist | Dept of Speech Pathology and Audiology, Hahn 1119, University of South Alabama, Mobile, AL 36688-0001 | 2014-10-24 |
| 1780020388 | Robert R Moore | Counselor | 88 Beckwith Dr, Galesburg, MI 49053-9604 | 2013-05-22 |
| 1114262581 | Robert Daniel Moore | Hearing Instrument Specialist | 1911 S Main Street, Corbin, KY 40701 | 2012-12-11 |
| 1487918413 | Robert Wallace Moore Jr. | Orthopaedic Surgery | 4563 Landfall Ct, Destin, FL 32541-5313 | 2012-06-25 |
| 1972804102 | Robert Stephen Moore | Pharmacist | 671 Rancho Santa Fe Road, San Marcos, CA 92078-3973 | 2010-11-04 |
| 1942539978 | Robert Andrew Moore | Family Medicine | 11848 Goshen Ave, 301, Los Angeles, CA 90049-6336 | 2009-12-22 |
| Street Address |
2700 ROBERT T LONGWAY BLVD |
| City | FLINT |
| State | MI |
| Zip Code | 48503-2190 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619965175 | Khalid Mohammed Ahmed | Internal Medicine | 2700 Robert T Longway Blvd, Suite B, Flint, MI 48503-2190 | 2005-10-10 |
| 1871060129 | Trisha Louise Krul | Assistant Behavior Analyst | 2700 Robert T Longway Blvd, Flint, MI 48503-2190 | 2018-10-25 |
| 1447726450 | Sheeba Mathews | Nurse Practitioner | 2700 Robert T Longway Blvd, Flint, MI 48503-2190 | 2018-10-17 |
| 1700388089 | Nichole Lynn Thornton | Behavior Technician | 2700 Robert T Longway Blvd, Flint, MI 48503 | 2018-03-02 |
| 1013429430 | Broc Stephen Wilkison | Assistant Behavior Analyst | 2700 Robert T Longway Blvd, Flint, MI 48503-2190 | 2017-10-25 |
| 1053839910 | Rebekah Plantz | Technician/Technologist | 2700 Robert T Longway Blvd, Flint, MI 48503-2190 | 2017-08-31 |
| 1982131819 | Samantha Jo Wolf | Behavior Technician | 2700 Robert T Longway Blvd, Flint, MI 48503-2190 | 2017-05-23 |
| 1952834921 | Monica Leverette | Nurse Practitioner | 2700 Robert T Longway Blvd, Suite B, Flint, MI 48503-2190 | 2017-04-06 |
| 1356893366 | Shauna Franice Cooks | Nurse Practitioner | 2700 Robert T Longway Blvd, Suite B, Flint, MI 48503-2190 | 2016-10-26 |
| 1013468917 | Ian Mcelfish | Behavioral Analyst | 2700 Robert T Longway Blvd, Flint, MI 48503-2190 | 2016-10-17 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457971640 | Flint Odyssey House Inc. | Community/Behavioral Health | 1219 Martin Luther King Avenue, Flint, MI 48503 | 2020-04-17 |
| 1891265476 | Mary Margaret Woodruff | Health Educator | 411 E. Third St Suite 2, Flint, MI 48503 | 2018-11-27 |
| 1669942223 | Donna Jean Phelps | Behavior Technician | 2284 S Ballenger Highway, Flint, MI 48503 | 2018-11-27 |
| 1588150601 | Dayonna Scott | Social Worker | Hope Network, 2830 Corunna Rd, Flint, MI 48503 | 2018-07-02 |
| 1801388020 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 2284 S Ballenger Hwy Ste F, Flint, MI 48503 | 2018-06-04 |
| 1134610504 | Swathi Gorle | Student in an Organized Health Care Education/Training Program | Hurley Medical Center, 1 Hurley Plaza, Flint, MI 48503 | 2018-05-22 |
| 1881128049 | Kara Garr | Registered Nurse | 805 Tuuri Pl, Flint, MI 48503 | 2017-04-14 |
| 1518405638 | Thomasinia Terrell | Peer Specialist | 422 W Fourth Ave, Flint, MI 48503 | 2017-02-09 |
| 1790231041 | Roslyn Boyce | Technician, Other | 2213 E. Court Street, Flint, MI 48503 | 2016-08-28 |
| 1689120818 | Yasmine Elhefnawy | Student in an Organized Health Care Education/Training Program | One Hurley Plaza 3d West, Flint, MI 48503 | 2016-08-28 |
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| 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 |
|---|---|---|---|---|
| 1598374852 | Leah Stadel | Behavior Technician | 4469 Rainbow Ln, Flint, MI 48507-6228 | 2020-07-23 |
| 1689220543 | Bria Marese Jones | Behavior Technician | 6102 Dupont St, Flint, MI 48505-2684 | 2019-08-15 |
| 1669942223 | Donna Jean Phelps | Behavior Technician | 2284 S Ballenger Highway, Flint, MI 48503 | 2018-11-27 |
| 1972017309 | Gabriel Reddoch | Behavior Technician | 5221 W Court St, Flint, MI 48532-4114 | 2017-11-21 |
| 1275052573 | Alexis Kristina Nedanis | Behavior Technician | 1026 Sussex Ln, Flint, MI 48532-2654 | 2017-09-18 |
| 1912424193 | Courtney Reed | Behavior Technician | 4121 M L King Ave, Flint, MI 48505 | 2017-08-28 |
| 1649718909 | Elexis Moore | Behavior Technician | 909 Stevens Street, Flint, MI 48502-1620 | 2017-02-07 |
| 1366993743 | Craig Gray | Behavior Technician | 5714 Suburban Ct, Flint, MI 48505-2645 | 2016-10-20 |
| 1609232487 | Taquaysha Taylor | Behavior Technician | 1815 Oxley Dr, Flint, MI 48504-7039 | 2016-01-08 |
| 1558993139 | Hailee Strong | Behavior Technician | 2284 S Ballenger Hwy, Flint, MI 48503-3446 | 2020-02-11 |
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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.