Active NPIIndividual providerSole proprietor

Katherine E Moore, BCBA

Behavior Analyst in Wanaque, New Jersey

NPI Number1639719024
Practice location
49 Cannonball RD, Wanaque, NJ 07465-1048
Fax
—
Last updated
January 14, 2020

Katherine Elizabeth Moore is a Behavior Analyst based in Wanaque, NJ. Katherine Elizabeth Moore practices in Wanaque, NJ and has the professional credentials of BCBA. The NPI Number for Katherine Elizabeth Moore is 1639719024. The current practice location address for Katherine Elizabeth Moore is 49 Cannonball RD, Wanaque, NJ 07465-1048 and can be reached out via phone at 973-723-3081.

Provider Profile Details

NPI Number
1639719024
Provider Name
Katherine Elizabeth Moore
Credential
BCBA
Provider Entity Type
Individual
Gender
Female
Address
49 Cannonball RD, Wanaque, NJ 07465-1048
Phone Number
973-723-3081
Primary Taxonomy
Behavior Analyst · 103K00000X
Sole Proprietor
Yes
Provider Enumeration Date
January 14, 2020
Last Update Date
January 14, 2020
Certification Date
January 14, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
49 Cannonball RD
Wanaque, NJ 07465-1048
Zip
07465-1048
Phone Number
973-723-3081
Wanaque, NJ 07465Get directions →

Provider Business Mailing Address Details

Address
49 Cannonball RD
Wanaque, NJ 07465-1048
City
Wanaque
State
NJ
Zip
07465-1048

License Information

Taxonomy
Behavior Analyst · 103K00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Katherine E Moore, BCBA?

The NPI number of Katherine E Moore, BCBA is 1639719024. It was assigned on January 14, 2020 and is currently active in the NPPES registry.

What is the specialty of Katherine E Moore, BCBA?

Katherine E Moore, BCBA is registered under the primary taxonomy Behavior Analyst (code 103K00000X).

Where does Katherine E Moore, BCBA practice?

The practice location is 49 Cannonball RD, Wanaque, NJ 07465-1048. The office can be reached at 973-723-3081 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1639719024 directly on the NPPES registry website.

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