BRIAN MOORE (NPI# 1891212130) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891212130 |
| Entity Type | Individual |
| Full Name | BRIAN MOORE |
| Practice Address |
201 Thornberry Branch Ln Daytona Beach FL 32124 |
| Mailing Address |
2306 Brian Ave South Daytona FL 32119-2724 |
| Practice Telephone | 3868724892 |
| Mailing Telephone | 4012867663 |
| Enumeration Date | 2017-08-28 |
| Last Update Date | 2018-06-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 252Y00000X | Early Intervention Provider Agency | Agencies | ||
| N | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477160810 | Brian Chadwick Moore | Technician | 1227 Blue Slide Rd, Thompson Falls, MT 59873-9470 | 2020-09-29 |
| 1790102226 | Brian Archie Moore | Physical Therapist | 4413 61st St, Lubbock, TX 79414-4520 | 2014-03-21 |
| 1225336316 | Brian Thomas Moore | Pharmacist | 602 Bacons Bridge Rd, Summerville, SC 29485-4102 | 2011-03-14 |
| 1033236591 | Brian Alan Moore | Social Worker | 1001 W 10th St # Bu1, Midtown Cmhc, Indianapolis, IN 46202-2859 | 2007-03-22 |
| 1952480063 | Brian Joseph Moore | Internal Medicine | 1201 Mount Kemble Ave, Morristown, NJ 07960-6628 | 2006-11-02 |
| 1487743696 | Brian Franklin Moore | Prosthetist | 172 Commercial Sq, Slidell, LA 70461-5418 | 2006-10-12 |
| 1144237108 | Brian Moore | Anesthesiology | 8504 Osuna Rd Ne, Albuquerque, NM 87111-2148 | 2006-08-02 |
| 1013961804 | Brian Lee Moore | Nurse Anesthetist, Certified Registered | 6615 Briarwood Cir, Wichita, KS 67212-2986 | 2006-05-19 |
| 1790749539 | Brian Keith Moore | Specialist/Technologist | 4653 Clairton Blvd, Pittsburgh, PA 15236-2149 | 2006-04-17 |
| 1871554527 | Brian Harold Moore | Specialist | 813 W 2nd St, Bloomington, IN 47403-2212 | 2006-03-31 |
| Street Address |
201 THORNBERRY BRANCH LN |
| City | DAYTONA BEACH |
| State | FL |
| Zip Code | 32124 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649452376 | Catherine S Brown | Physical Therapist | 201 Thornberry Branch Ln, Daytona Beach, FL 32124-3652 | 2007-12-05 |
| 1780228700 | Emily Bratek | Speech-Language Pathologist | 201 Thornberry Branch Ln, Daytona Beach, FL 32124-3652 | 2019-11-01 |
| 1336781889 | Marilyn Cimafranca | Occupational Therapy Assistant | 201 Thornberry Branch Ln, Daytona Beach, FL 32124-3652 | 2019-10-16 |
| 1578118394 | Ashley Mete | Occupational Therapy Assistant | 201 Thornberry Branch Ln, Daytona Beach, FL 32124-3652 | 2019-08-08 |
| 1457916215 | Matthew Omalley | Specialist/Technologist | 201 Thornberry Branch Ln, Daytona Beach, FL 32124-3652 | 2019-05-07 |
| 1710440276 | Lamesha Doushette Killins | Case Manager/Care Coordinator | 201 Thornberry Branch Ln, Daytona Beach, FL 32124-3652 | 2019-04-11 |
| 1982169454 | Tim Valentine | Occupational Therapy Assistant | 201 Thornberry Branch Ln, Daytona Beach, FL 32124-3652 | 2019-02-08 |
| 1255816427 | Douglas Coney | Occupational Therapy Assistant | 201 Thornberry Branch Ln, Daytona Beach, FL 32124-3652 | 2018-10-03 |
| 1548740475 | Rachel Schatzberg | Early Intervention Provider Agency | 201 Thornberry Branch Ln, Daytona Beach, FL 32124-3652 | 2018-08-20 |
| 1164917688 | Trakenya T Killins | Early Intervention Provider Agency | 201 Thornberry Branch Ln, Daytona Beach, FL 32124-3652 | 2018-06-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407302599 | Christine Lapila | Behavioral Analyst | 201 Thornberg Branch Lane, Daytona Beach, FL 32124 | 2016-08-29 |
| 1194708495 | Brent N. Fulton | Family Medicine | 3127 W International Speedway Blvd., Daytona Beach, FL 32124 | 2005-11-21 |
| 1588834725 | Glendoria Stephens | Counselor | 3875 Tiger Bay Rd, Rm 914 Bldg I, Daytona Beach, FL 32124 | 2008-03-04 |
| 1003146887 | Sequel Tsi of Florida, LLC Daytona Transitional | Residential Treatment Facility, Emotionally Disturbed Children | 1386 Indian Lake Rd, Daytona Beach, FL 32124-1001 | 2009-12-30 |
| 1376874370 | Sequel Tsi of Florida, LLC Daytona Residential Treatment Center | Psychiatric Residential Treatment Facility | 1386 Indian Lake Rd, Daytona Beach, FL 32124-1001 | 2010-01-15 |
| 1710531454 | Publix Super Markets, Inc. | Durable Medical Equipment & Medical Supplies | 2630 Lpga Blvd, Daytona Beach, FL 32124-1008 | 2019-07-31 |
| 1336746544 | Kyle Adams | Pharmacist | 2630 Lpga Blvd, Daytona Beach, FL 32124-1008 | 2020-10-01 |
| 1750369666 | Sma Healthcare Inc | Community/Behavioral Health | 1150 Red John Road, Daytona Beach, FL 32124-1016 | 2006-01-03 |
| 1396742490 | Theodore Frank Matejka | Nurse Practitioner | 1150 Red John Dr, Daytona Beach, FL 32124-1016 | 2005-07-05 |
| 1104464882 | Dane Huge | Nurse Practitioner | 1150 Red John Dr, Daytona Beach, FL 32124-1016 | 2019-12-13 |
| Find all providers in zip 32124 | ||||
| Taxonomy Code | 252Y00000X |
| Grouping | Agencies |
| Classification | Early Intervention Provider Agency |
| Early intervention services are an effective way to address the needs of infants and toddlers who have developmental delays or disabilities. The services are made available through a federal law known as the Individuals with Disabilities Education Act (IDEA). IDEA provides states and territories with specific requirements for providing early intervention services to infants and toddlers with special needs. In turn, each state and territory develops its own policies for carrying out IDEA and its requirements. Broadly speaking, early intervention services are special services for eligible infants and toddlers and their families. These services are designed to identify and meet children’s needs in five developmental areas. These areas are: physical development, cognitive development, communication, social or emotional development, and adaptive development. |
| Notes: Source: National Dissemination Center for Children with Disabilities [7/1/2007: new] http://www.nichcy.org/pubs/parent/pa2txt.htm |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760835706 | Barbara Fuller | Early Intervention Provider Agency | 125 Cheshire Rd, Daytona Beach, FL 32118 | 2016-07-14 |
| 1831536515 | Florida Lions Conklin Ctrs for The Blind | Early Intervention Provider Agency | 405 White St, Daytona Beach, FL 32114-2925 | 2013-06-04 |
| 1548740475 | Rachel Schatzberg | Early Intervention Provider Agency | 201 Thornberry Branch Ln, Daytona Beach, FL 32124-3652 | 2018-08-20 |
| 1164917688 | Trakenya T Killins | Early Intervention Provider Agency | 201 Thornberry Branch Ln, Daytona Beach, FL 32124-3652 | 2018-06-27 |
| 1568979235 | Star Johnson | Early Intervention Provider Agency | 201 Thornberry Branch Ln, Daytona Beach, FL 32124-3652 | 2018-01-04 |
| 1639696909 | Allie Ames | Early Intervention Provider Agency | 201 Thornberry Branch Ln, Daytona Beach, FL 32124-3652 | 2017-08-27 |
| 1790189264 | Michelle Marie Hudimac | Early Intervention Provider Agency | 201 Thornberry Branch Ln, Daytona Beach, FL 32124-3652 | 2014-10-13 |
| 1780099523 | Easterseals Northeast Central Florida, Inc. | Early Intervention Provider Agency | 1219 Dunn Ave, Daytona Beach, FL 32114 | 2014-06-30 |
| 1386784429 | The Childrens Advocacy Center of Volusia & Flagler Counties | Early Intervention Provider Agency | 1011 W International Speedway Blvd, Daytona Beach, FL 32114-3421 | 2007-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750980561 | Paola Marisela Hernandez | Early Intervention Provider Agency | 6207 River Fruit Ct, Windermere, FL 34786-7325 | 2020-10-22 |
| 1770182966 | Maitelyn Salgado Sr. | Early Intervention Provider Agency | 145 Nw Central Park Plz Ste 104, Port St Lucie, FL 34986-2482 | 2020-10-20 |
| 1861007593 | Zena Figueroa Rios | Early Intervention Provider Agency | 4240 Prima Lago Dr, Lakeland, FL 33810-3063 | 2020-09-10 |
| 1679183974 | Impact Rehab LLC | Early Intervention Provider Agency | 10104 Sandywood Dr, Sanford, FL 32771-7246 | 2020-08-03 |
| 1235752460 | Wheat L L C | Early Intervention Provider Agency | 2627 Ne 203rd St Ste 109, Miami, FL 33180-1945 | 2020-05-21 |
| 1699397570 | Baruch Shem LLC | Early Intervention Provider Agency | 27802 Sw 134th Ct, Homestead, FL 33032-8256 | 2020-05-13 |
| 1710513023 | Lacy Bussey | Early Intervention Provider Agency | 700 N Courtenay Pkwy Apt 527, Merritt Island, FL 32953-5401 | 2020-03-18 |
| 1790310605 | Courtney M Lopez | Early Intervention Provider Agency | 6719 Ne 33rd Ct, Ocala, FL 34479-1423 | 2020-03-11 |
| 1942835152 | Robin M Boshnick | Early Intervention Provider Agency | 8540 Briar Rose Pt, Boynton Beach, FL 33473-7819 | 2020-03-08 |
| 1447884663 | Emily Garratt | Early Intervention Provider Agency | 8624 Primrose Dr, Kissimmee, FL 34747-1648 | 2020-02-26 |
| Find all providers with the same taxonomy | ||||
| City | DAYTONA BEACH |
| Zip Code | 32124 |
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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.