BRYAN L MOORE (NPI# 1811544869) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811544869 |
| Entity Type | Individual |
| Full Name | BRYAN L MOORE |
| Practice Address |
9247 Plume Grass St Corona CA 92883-8166 |
| Practice Telephone | 7147420914 |
| Mailing Telephone | 7147420914 |
| Enumeration Date | 2019-08-23 |
| Last Update Date | 2019-08-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013408830 | Bryan Moore | Student in an Organized Health Care Education/Training Program | 5508 Arch Bridge Ct, Arlington, TX 76017-3524 | 2018-05-29 |
| 1104141662 | Bryan J Moore | Psychiatry & Neurology | Intouch Health / C3o Telemedicine, 7402 Hollister Avenue, Santa Barbara, CA 93117 | 2010-03-28 |
| 1598828709 | Bryan Eugene Moore | Chiropractor | 412 Ponce De Leon Dr, Ste B, Hot Springs Village, AR 71909-8121 | 2006-12-18 |
| 1912351396 | Bryan Moore | Case Manager/Care Coordinator | 1517 W Garvey Ave N, West Covina, CA 91790-2138 | 2016-04-21 |
| 1124430871 | Bryan J Moore | Counselor | 80 State Highway 310, Suite 1, Canton, NY 13617 | 2014-05-29 |
| 1528398989 | Bryan Anderson Moore | Physical Therapist | 1815 Roselawn Ave, Monroe, LA 71201-5433 | 2010-01-07 |
| 1982805040 | Bryan Moore | Dentist | 7777 Forest Ln, Suite C-104, Dallas, TX 75230-2505 | 2007-05-29 |
| 1356388433 | Bryan Russell Moore | Physician Assistant | 501 Redmond Rd Nw, Anesthesiology Department, Rome, GA 30165-1415 | 2006-05-31 |
| Street Address |
9247 PLUME GRASS ST |
| City | CORONA |
| State | CA |
| Zip Code | 92883-8166 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710496815 | Onyinye Yvonne Johnson | Nurse Practitioner | 27223 Lasso Way, Corona, CA 92883 | 2017-09-21 |
| 1215376850 | Jennifer Carol Bard | Speech-Language Pathologist | 4194 Floyd Drive, Corona, CA 92883 | 2013-06-17 |
| 1023359619 | Richard Joon Kim | Pharmacist | 4315 Driving Range Rd, Corona, CA 92883 | 2013-03-07 |
| 1740590330 | Kim-thoa Thi Vu | Pharmacist | 2243 Eagle Glen Parkway, Corona, CA 92883 | 2010-10-15 |
| 1114232154 | Always 'tfy' Hospice, Inc. | Hospice Care, Community Based | 9064 Pulsar Court, Ste E, Corona, CA 92883 | 2010-08-14 |
| 1952553844 | Garfield Beach Cvs LLC | Durable Medical Equipment & Medical Supplies | 11950 Depalma Rd, Corona, CA 92883 | 2008-10-22 |
| 1497979280 | Sang C Paik Dds | Dentist | 3811 Bedford Canyon Rd, Suite 105, Corona, CA 92883 | 2007-04-12 |
| 1285615864 | Mallory Leon | Family Medicine | 25085 Pacific Crest Street, Corona, CA 92883 | 2005-11-09 |
| 1326038993 | Chan Woo Lee | Optometrist | 2790 Cabot Drive, Suite 135, Corona, CA 92883 | 2005-10-25 |
| 1659575736 | Optique Optometry, A Professional Corporation | Optometrist | 2790 Cabot Drive, Suite 135, Corona, CA 92883 | 2007-06-13 |
| Find all providers in zip 92883 | ||||
| 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 |
|---|---|---|---|---|
| 1245831015 | Ayanna D Davis | Behavior Technician | 425 E Monterey Rd, Corona, CA 92879-2839 | 2020-11-06 |
| 1790386167 | Chirley Oviedo | Behavior Technician | 285 S Vicentia Ave Apt 3, Corona, CA 92882-2157 | 2020-11-03 |
| 1609475722 | Tahmea Henderson | Behavior Technician | 225 Rincon St. #219, Corona, CA 92879 | 2020-10-20 |
| 1477180313 | Dewa Karzi | Behavior Technician | 557 Fairbanks St, Corona, CA 92879-5845 | 2020-03-23 |
| 1427682608 | Toni Atkinson | Behavior Technician | 1670 Via Pacifica Apt H201, Corona, CA 92882-4415 | 2020-02-26 |
| 1093348666 | Michiko Morales | Behavior Technician | 535 Richey St Apt 110, Corona, CA 92879-6181 | 2020-02-21 |
| 1114558079 | Alicia Marie Hamilton | Behavior Technician | 980 Hedges Dr, Corona, CA 92880-7355 | 2020-01-30 |
| 1285285213 | Mariann H Kim | Behavior Technician | 2815 Camellia Ct, Corona, CA 92882-3640 | 2019-09-20 |
| 1215587191 | Karla Vasquez | Behavior Technician | 1034 Westbrook St, Corona, CA 92880-1215 | 2019-09-12 |
| 1265094387 | Karen Lozano | Behavior Technician | 1255 E St Apt C, Corona, CA 92882-1813 | 2019-06-29 |
| Find all providers in CORONA | ||||
Please comment or provide details below to improve the information on BRYAN L MOORE.
| 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.