BRANDY S MOORE (NPI# 1679037956) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679037956 |
| Entity Type | Individual |
| Full Name | BRANDY S MOORE |
| Practice Address |
7109 Danny Dr Stockton CA 95210-5320 |
| Practice Telephone | 2099577777 |
| Practice Fax Number | 2094733344 |
| Mailing Telephone | 2099577777 |
| Mailing Fax Number | 2094733344 |
| Enumeration Date | 2019-01-30 |
| Last Update Date | 2019-01-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | 19-77098 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336515410 | Brandy Lee Moore | Specialist | 100 Hunters Ln Ste 100, Tullahoma, TN 37388-8264 | 2015-08-12 |
| 1013349620 | Brandy Lee Moore | Occupational Therapy Assistant | 3309 Tinney Pl, Nashville, TN 37217-3457 | 2013-08-06 |
| 1427667161 | Brandy Moore | Counselor | 200 N Emerald Ln, Carbondale, IL 62901-2159 | 2020-07-29 |
| 1083127161 | Brandy M Moore | Nurse Practitioner | 255 Virginia Dr, Batesville, AR 72501-7335 | 2017-11-10 |
| 1386050912 | Brandy Moore | Pharmacist | 825 S Walnut St, Stillwater, OK 74074-4226 | 2014-07-02 |
| 1265853956 | Brandy Moore | Counselor | 5905 Forest Pl, Little Rock, AR 72207-5244 | 2013-12-23 |
| Street Address |
7109 DANNY DR |
| City | STOCKTON |
| State | CA |
| Zip Code | 95210-5320 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487945762 | Susan Riggs | Behavioral Analyst | 7109 Danny Dr, Stockton, CA 95210-5320 | 2011-04-21 |
| 1205437183 | Johanna Natoza | Behavior Technician | 7109 Danny Dr, Stockton, CA 95210-5320 | 2020-11-05 |
| 1659970895 | Darrian L Alcorn Jr. | Behavior Technician | 7109 Danny Dr, Stockton, CA 95210-5320 | 2020-10-20 |
| 1205433968 | Alana Sanders | Behavior Technician | 7109 Danny Dr, Stockton, CA 95210-5320 | 2020-10-06 |
| 1851998454 | Irma Perez | Behavior Technician | 7109 Danny Dr, Stockton, CA 95210-5320 | 2020-10-06 |
| 1598362774 | Leslie Montoya | Behavior Technician | 7109 Danny Dr, Stockton, CA 95210-5320 | 2020-10-01 |
| 1790392413 | Lauren Victoria Jackson | Behavior Technician | 7109 Danny Dr, Stockton, CA 95210-5320 | 2020-09-27 |
| 1447867221 | Ronald Earl Jackson Jr. | Behavior Technician | 7109 Danny Dr, Stockton, CA 95210-5320 | 2020-09-25 |
| 1619581055 | Anahi Cardenas | Behavior Technician | 7109 Danny Dr, Stockton, CA 95210-5320 | 2020-09-02 |
| 1770196768 | Anthony Gonzalez Orozco | Behavior Technician | 7109 Danny Dr, Stockton, CA 95210-5320 | 2020-08-28 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063021970 | Leslie Jazmin Marin | Student in an Organized Health Care Education/Training Program | 7109 Danny Dr, Stockton, Stockton, CA 95210 | 2020-07-27 |
| 1043866692 | Alexis Thomasson | Behavior Technician | 7109 Danny Drive, Stockton, CA 95210 | 2019-08-09 |
| 1821651324 | Maria Guadalupe Toledo | Lactation Consultant, Non-RN | 7912 Hammer Lane, Stockton, CA 95210 | 2019-04-19 |
| 1508226440 | Active Life Adult Day Care, Inc. | Clinic/Center | 7209 Tam O'shanter Dr., Stockton, CA 95210 | 2016-03-04 |
| 1548631260 | Rachel Standley | Substance Abuse Rehabilitation Facility | 8017 El Cajon St, Stockton, CA 95210 | 2015-10-08 |
| 1225435308 | Active Life Medical Produtcs Inc | Durable Medical Equipment & Medical Supplies | 611 W Grider Way, Stockton, CA 95210 | 2014-12-04 |
| 1942633318 | Kimberly Ruiz Dizon | Physician Assistant | 1530 E Hammer Ln, Stockton, CA 95210 | 2013-08-20 |
| 1285920983 | Supplemental Health Care | Preferred Provider Organization | 8425 Kiltie Wy, Stockton, CA 95210 | 2011-06-22 |
| 1770807901 | Stockton Medical Weight Loss Center Inc | Internal Medicine | 1801 E. March Lane, Suite 400d, Stockton, CA 95210 | 2010-03-17 |
| 1699911412 | Pratap Krishna Anne | Pharmacist | 1801 E.march Ln, Suite:b280, Bjrx, Stockton, CA 95210 | 2008-12-29 |
| Find all providers in zip 95210 | ||||
| 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 |
|---|---|---|---|---|
| 1417558727 | Adriana B Juarez | Behavior Technician | 935 W Swain Rd Apt 10, Stockton, CA 95207-9209 | 2020-11-03 |
| 1609477918 | Samantha Mendoza Sanchez | Behavior Technician | 1633 E Bianchi Rd Apt 203, Stockton, CA 95210-7611 | 2020-11-03 |
| 1154929867 | Devina Renee Colon | Behavior Technician | 2124 Canby Oak Dr, Stockton, CA 95205-2687 | 2020-10-14 |
| 1609474311 | Daniela Iridian Aguirre | Behavior Technician | 1550 S B St Spc 19, Stockton, CA 95206-2461 | 2020-10-14 |
| 1336747039 | Aaliyah A Nino | Behavior Technician | 7638 Peppertree Dr, Stockton, CA 95207-1448 | 2020-10-14 |
| 1972101681 | Mersadez Oller | Behavior Technician | 4815 Joseph Leon Ln, Stockton, CA 95215-1153 | 2020-10-14 |
| 1053919761 | Corriana Brown | Behavior Technician | 5523 Patti Lynn Way, Stockton, CA 95212-3842 | 2020-10-14 |
| 1366049959 | Maria Estavillo | Behavior Technician | 4305 Julius Ct, Stockton, CA 95207-6531 | 2020-10-06 |
| 1417564634 | Ceidy Burgos | Behavior Technician | 8651 Acapulco Way Apt 2, Stockton, CA 95210-1811 | 2020-09-30 |
| 1982211488 | Willisha Tietiana Bottley | Behavior Technician | 3893 Jacarandas Ct, Stockton, CA 95206-5159 | 2020-09-29 |
| Find all providers in STOCKTON | ||||
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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.