COURTNEY MOORE (NPI# 1477017218) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477017218 |
| Entity Type | Individual |
| Full Name | COURTNEY MOORE |
| Practice Address |
4204a Adams Ave San Diego CA 92116-2300 |
| Practice Telephone | 6197860074 |
| Practice Fax Number | 6192027741 |
| Mailing Telephone | 6197860074 |
| Mailing Fax Number | 6192027741 |
| Enumeration Date | 2019-01-25 |
| Last Update Date | 2019-01-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | RBT-18-58508 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952832677 | Courtney Moore | Behavior Technician | 1675 Sw Marlow Ave Ste 204, Portland, OR 97225-5102 | 2017-03-23 |
| 1306290333 | Courtney Michelle Moore | Student in an Organized Health Care Education/Training Program | 3852 W 370 Rd, Adair, OK 74330-2792 | 2016-04-15 |
| 1639543887 | Courtney King Moore | Counselor | 650 Henderson Dr Ste 432, Cartersville, GA 30120-3760 | 2015-11-25 |
| 1154734812 | Courtney Magdalene Moore | Internal Medicine | 22250 Providence Dr Ste 301, Southfield, MI 48075-6211 | 2014-06-10 |
| 1093068306 | Courtney Rose Moore | Behavioral Analyst | 14131 Midway Rd Ste 800, Addison, TX 75001-3627 | 2012-10-24 |
| 1538499157 | Courtney Keese Moore | Acupuncturist | 605 Chenery Street, Suite C, San Francisco, CA 94131-2956 | 2010-01-04 |
| 1316194053 | Courtney Savannah Moore | Counselor | 45 Olguin Rd, Jarales, NM 87023-9703 | 2008-08-25 |
| 1205030004 | Courtney Claude Moore | Pharmacist | 1864 Union St, Clearwater, FL 33763-2246 | 2007-06-14 |
| 1962548925 | Courtney Joseph Moore | Physical Therapist | 2251 Country Club Lane, Selma, CA 93662 | 2007-01-29 |
| 1043810922 | Courtney Moore | Pharmacist | 262 Cordele Rd, Albany, GA 31705-2407 | 2020-10-29 |
| Street Address |
4204A ADAMS AVE |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92116-2300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528216876 | Katherine Calarco | Specialist | 4204a Adams Ave, San Diego, CA 92116-2300 | 2008-08-28 |
| 1578162244 | Jessica Cobb | Specialist/Technologist | 4204a Adams Ave, San Diego, CA 92116-2300 | 2020-10-22 |
| 1184259863 | Allison Chae Tyner | Speech-Language Pathologist | 4204a Adams Ave, San Diego, CA 92116-2300 | 2020-03-03 |
| 1316582836 | Rachel Litsas | Occupational Therapy Assistant | 4204a Adams Ave, San Diego, CA 92116-2300 | 2019-11-07 |
| 1720639081 | Jessica Elizabeth Lester | Speech-Language Pathologist | 4204a Adams Ave, San Diego, CA 92116-2300 | 2019-09-26 |
| 1720636137 | Jessica Leiser | Occupational Therapist | 4204a Adams Ave, San Diego, CA 92116-2300 | 2019-08-28 |
| 1932667805 | Zarai Cazares Bedolla | Behavior Technician | 4204a Adams Ave, San Diego, CA 92116-2300 | 2019-03-08 |
| 1831653674 | Alessandra Andrade | Behavior Technician | 4204a Adams Ave, San Diego, CA 92116-2300 | 2019-01-25 |
| 1740744580 | Jamie Williams | Behavior Technician | 4204a Adams Ave, San Diego, CA 92116-2300 | 2019-01-25 |
| 1659835494 | Stephanie Sandoval | Behavior Technician | 4204a Adams Ave, San Diego, CA 92116-2300 | 2019-01-25 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255859450 | Michael S Cohen | Acupuncturist | 1533 Monroe Ave, San Diego, CA 92116 | 2017-09-07 |
| 1013456052 | Scarlett O'hara | Speech-Language Pathologist | 4204a Adams Avenue, San Diego, CA 92116 | 2017-02-22 |
| 1780123174 | Elaine Oxina | Occupational Therapist | 4204 Adams Avenue A, Specialized Therapy Services, San Diego, CA 92116 | 2017-02-17 |
| 1699157321 | Candice Dumais | Occupational Therapist | 4522 1/2 Georgia St, San Diego, CA 92116 | 2015-06-18 |
| 1558643908 | Markus Steven Hill | Student in an Organized Health Care Education/Training Program | 4489 41st St, San Diego, CA 92116 | 2011-09-12 |
| 1457689309 | Nirit Shoshana Blocker | Physical Therapist | 4663 Iowa St Unit 5, San Diego, CA 92116 | 2009-12-03 |
| 1780830257 | Latrice Charlene Washington | Counselor | 3430 School St, San Diego, CA 92116 | 2008-08-15 |
| 1497901086 | Kathryn Eris Zangaro | Counselor | 3430 School St., San Diego, CA 92116 | 2008-08-14 |
| 1508012535 | Cyrus Satoafaiga | Counselor | 3430 School Street, San Diego, CA 92116 | 2008-08-11 |
| 1164692471 | Kimberly Hoover L.ac. | Acupuncturist | 2852 Adams Avenue, San Diego, CA 92116 | 2008-03-04 |
| Find all providers in zip 92116 | ||||
| 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 |
|---|---|---|---|---|
| 1952902801 | Keri Castaneda | Behavior Technician | 025 Camino Del Rio South Suite 101, San Diego, CA 92108 | 2020-11-06 |
| 1639776636 | Gabrielle Moriah Pero | Behavior Technician | 2644 Figueroa Blvd, San Diego, CA 92109-4822 | 2020-10-03 |
| 1437766532 | Alexandria Alexis Meier | Behavior Technician | 3838 Camino Del Rio N Ste 240, San Diego, CA 92108-1763 | 2020-09-23 |
| 1619582111 | Christopher Andre Simpson | Behavior Technician | 4810 Coronado Ave, San Diego, CA 92107-3316 | 2020-09-11 |
| 1669082087 | Briana Kathleen Murray | Behavior Technician | 1281 9th Ave Unit 216, San Diego, CA 92101-4636 | 2020-08-01 |
| 1790393478 | Virginia Herzog | Behavior Technician | 5875 Friars Rd Apt 4402, San Diego, CA 92110-6023 | 2020-07-17 |
| 1518585371 | Alicia Ford | Behavior Technician | 1170 Bernardo Plaza Court, Suite 350, San Diego, CA 92128 | 2020-07-08 |
| 1225656325 | Jazmin Lopez | Behavior Technician | 4025 Camino Del Rio S Ste 100, San Diego, CA 92108-4108 | 2020-07-06 |
| 1790309052 | Laila S Hasenin | Behavior Technician | 7389 Via Carrillo, San Diego, CA 92129-2271 | 2020-06-02 |
| 1801425533 | Stephanie Lee Harmon | Behavior Technician | 12094 Daymark Ct, San Diego, CA 92131-3801 | 2020-04-04 |
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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.