COURTNEY MOORE (NPI# 1952832677) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952832677 |
| Entity Type | Individual |
| Full Name | COURTNEY MOORE |
| Practice Address |
1675 Sw Marlow Ave Ste 204 Portland OR 97225-5102 |
| Practice Telephone | 7753513422 |
| Mailing Telephone | 7753513422 |
| Enumeration Date | 2017-03-23 |
| Last Update Date | 2018-09-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3416 Goni Rd, D-132, Carson City, NV 897068008 | 7753513422 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1689274169 | Courtney L Moore | Behavior Technician | 1800 Nw 169th Pl Ste B100, Beaverton, OR 97006-7362 | 2020-10-26 |
| Street Address |
1675 SW MARLOW AVE STE 204 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97225-5102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649744160 | Diana Pearson | Behavior Technician | 1675 Sw Marlow Ave Ste 204, Portland, OR 97225-5102 | 2019-01-17 |
| 1902389018 | Karissa Sinclair-skaggs | Behavior Technician | 1675 Sw Marlow Ave Ste 204, Portland, OR 97225-5102 | 2018-09-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508425034 | Gabrielle Gonzales | Behavior Technician | 1675 Sw Marlow Ave, Suite 200, Portland, OR 97225 | 2019-06-08 |
| 1558844555 | Tate Roseberry | Behavior Technician | 1675 Sw Marlow Avenue, Suite 200, Portland, OR 97225 | 2018-09-14 |
| 1982186300 | Dean Alan Hopkins | Registered Nurse | 11782 Sw Barnes Rd, Suite 300, Portland, OR 97225 | 2018-09-01 |
| 1316449168 | Surgery Center At St. Vincent, LLC | Clinic/Center | 9135 Sw Barnes Rd Ste 161, Portland, OR 97225 | 2018-03-07 |
| 1730606716 | Meghan Louise Lacy | Pediatrics | 11790 Sw Barnes Rd, Blg. A, Suite 140, Portland, OR 97225 | 2017-08-29 |
| 1841733433 | Tia Pugh | Occupational Therapist | 9155 S.w. Barnes Road, East Pavilion, Portland, OR 97225 | 2016-11-30 |
| 1295185585 | Stephanie Lynn Hart | Nurse Practitioner | 9155 Sw Barnes Rd Ste 240, Portland, OR 97225 | 2016-06-16 |
| 1962866244 | Bejian Shamloo | Chiropractor | 10200 Sw Eastridge St., Suite 235, Portland, OR 97225 | 2016-04-12 |
| 1992162630 | Robert Joseph Yoder | Psychologist | 9045 Barnes Rd, Portland, OR 97225 | 2016-01-26 |
| 1316303951 | Katie Herold | Chiropractor | 9315 Sw Morrison St, Portland, OR 97225 | 2016-01-12 |
| Find all providers in zip 97225 | ||||
| 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 |
|---|---|---|---|---|
| 1184223760 | Dvarrio Rice | Behavior Technician | 404 Ne 157th Ave, Portland, OR 97230-4831 | 2020-10-23 |
| 1912513748 | Rayna Louise Sage | Behavior Technician | 50 Donald Beaver Drrive, Ste B, Portland, ME 04106 | 2020-09-17 |
| 1770112229 | Gabriel Jackson Bird | Behavior Technician | 7800 Sw Barbur Blvd Unit 2, Portland, OR 97219-2823 | 2020-04-06 |
| 1841824000 | Amorelle Clarke | Behavior Technician | 5457 Sw Canyon Ct, Portland, OR 97221-2401 | 2020-02-26 |
| 1528691870 | Jodie Lynn Boettcher | Behavior Technician | 1750 Sw Skyline Blvd Ste 201, Portland, OR 97221-2545 | 2020-02-14 |
| 1184256893 | Rebecca Lovins | Behavior Technician | 304, Frio Dr, Portland, TX 78374 | 2020-02-11 |
| 1063052603 | Cedar Hart Edell | Behavior Technician | 931 Sw Gaines St Apt A, Portland, OR 97239-3005 | 2020-01-12 |
| 1588204507 | Yarelisa Yesania Salcedo | Behavior Technician | 7800 Sw Barbur Blvd # 2, Portland, OR 97219-2823 | 2020-01-07 |
| 1669011045 | Devin Solar | Behavior Technician | 14405 Sw Beef Bend Rd Apt 3, Portland, OR 97224-1964 | 2020-01-02 |
| 1982243531 | Haley Anne Fellows | Behavior Technician | 8105 Se Taylor Ct, Portland, OR 97215-3059 | 2019-12-30 |
| Find all providers in PORTLAND | ||||
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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.