MARTHA DENISE MOORE (NPI# 1134785074) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134785074 |
| Entity Type | Individual |
| Full Name | MARTHA DENISE MOORE |
| Practice Address |
3771 Stefani Rd Cantonment FL 32533-7795 |
| Practice Telephone | 8506076910 |
| Practice Fax Number | 8506076932 |
| Enumeration Date | 2019-05-16 |
| Last Update Date | 2019-05-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | FL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144739533 | Martha Michelle Moore | Registered Nurse | Piedmont Henry Hospital, 1133 Eagles Landing Pkwy, Stockbridge, GA 30281 | 2017-09-28 |
| 1710131065 | Martha F Moore | Massage Therapist | 5201 Sw 31st Ave Apt 105, Fort Lauderdale, FL 33312-6922 | 2008-11-13 |
| 1497932404 | Martha Susan Moore | Registered Nurse | 314 E Owen K Garriott Rd, Enid, OK 73701 | 2008-01-22 |
| 1053418921 | Martha Jane Moore | Family Medicine | 232 Wood Street, Wrangell, AK 99929 | 2006-09-20 |
| 1336343144 | Martha Carole Moore | Psychologist | 49430 Road 426, Suite C, Oakhurst, CA 93644-8618 | 2007-06-14 |
| 1689703092 | Martha Moore | Counselor | 509 Biltmore Ave, Suite G276.10, Asheville, NC 28801-4601 | 2007-03-02 |
| 1194871616 | Martha Lynn Moore | Internal Medicine | 6428 Beach Blvd, Jacksonville, FL 32216-2813 | 2007-01-26 |
| 1336127513 | Martha Jeanne Moore | Family Medicine | 500 W Main St, Livingston, TN 38570-1718 | 2006-01-06 |
| 1225016678 | Martha W. Moore | Social Worker | 55 Lake Ave N, Department of Psychiatry, Worcester, MA 01655-0002 | 2006-01-05 |
| 1265426365 | Martha Kay Moore | Nurse Anesthetist, Certified Registered | 710 Center St, Columbus, GA 31901-1527 | 2005-09-02 |
| Street Address |
3771 STEFANI RD |
| City | CANTONMENT |
| State | FL |
| Zip Code | 32533-7795 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770875825 | Laura Leanne O'brien | Student in an Organized Health Care Education/Training Program | 3771 Stefani Rd, Cantonment, FL 32533-7795 | 2011-05-09 |
| 1649878083 | Brisyianna Nicole Robertson | Behavior Technician | 3771 Stefani Rd, Cantonment, FL 32533-7795 | 2020-10-16 |
| 1962000455 | Cory Miller | Behavior Technician | 3771 Stefani Rd, Cantonment, FL 32533-7795 | 2020-10-15 |
| 1851998355 | Casey James Coffey | Behavior Technician | 3771 Stefani Rd, Cantonment, FL 32533-7795 | 2020-10-07 |
| 1922605534 | Sara Lynne Wakai | Behavior Technician | 3771 Stefani Rd, Cantonment, FL 32533-7795 | 2020-10-06 |
| 1184221079 | Tracy Curry | Behavior Technician | 3771 Stefani Rd, Cantonment, FL 32533-7795 | 2020-10-05 |
| 1538776935 | Kendrick Douglas Rattray IIi | Behavior Technician | 3771 Stefani Rd, Cantonment, FL 32533-7795 | 2020-09-29 |
| 1588270763 | Jeremy Ruelos | Behavior Technician | 3771 Stefani Rd, Cantonment, FL 32533-7795 | 2020-09-22 |
| 1699381947 | Sheri Burgess | Behavior Technician | 3771 Stefani Rd, Cantonment, FL 32533-7795 | 2020-09-22 |
| 1114532421 | Briana Marie Diederichsen | Behavior Technician | 3771 Stefani Rd, Cantonment, FL 32533-7795 | 2020-09-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942778881 | Josie Reynolds | Behavior Technician | 3771 Stefani Road, Cantonment, FL 32533 | 2018-11-08 |
| 1013499441 | Self Haven LLC | Counselor | 1105 Carla Drive, Cantonment, FL 32533 | 2018-09-01 |
| 1104270974 | Tabitha Dugal | Nurse Practitioner | 2360 Us-29, Cantonment, FL 32533 | 2016-04-19 |
| 1912391335 | Gene Raymond Lachney Jr. | Pharmacist | 1550 S Hwy 29, Cantonment, FL 32533 | 2015-03-24 |
| 1902297922 | Sandra Darlene Nelson | Technician | 2524 Sourthern Oak Drive, Cantonment, FL 32533 | 2015-02-12 |
| 1023353695 | Laurelwood Alf | Clinic/Center | 1851 W. Ten Mile Rd, Cantonment, FL 32533 | 2012-12-07 |
| 1235409624 | Ingrid Wilson Huang | Psychologist | 2220 Parker Rd, Cantonment, FL 32533 | 2012-01-03 |
| 1104062850 | Linda Singleton | Adult Companion | 926 Booker St., Cantonment, FL 32533 | 2008-12-31 |
| 1215119193 | Cantonment Family Medicine Pa | Family Medicine | 2400 S. Hwy 29, Cantonment, FL 32533 | 2007-12-03 |
| 1386781342 | Pensacola Primary Care Inc | Family Medicine | 2360 U.S. Highway 29 South, Cantonment, FL 32533 | 2007-01-31 |
| Find all providers in zip 32533 | ||||
| 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 |
|---|---|---|---|---|
| 1033759907 | Ashley Renee Majors | Behavior Technician | 3771 Stefani Rd Fl 32533, Cantonment, FL 32533-7795 | 2020-01-08 |
| 1942778881 | Josie Reynolds | Behavior Technician | 3771 Stefani Road, Cantonment, FL 32533 | 2018-11-08 |
| 1649878083 | Brisyianna Nicole Robertson | Behavior Technician | 3771 Stefani Rd, Cantonment, FL 32533-7795 | 2020-10-16 |
| 1962000455 | Cory Miller | Behavior Technician | 3771 Stefani Rd, Cantonment, FL 32533-7795 | 2020-10-15 |
| 1851998355 | Casey James Coffey | Behavior Technician | 3771 Stefani Rd, Cantonment, FL 32533-7795 | 2020-10-07 |
| 1922605534 | Sara Lynne Wakai | Behavior Technician | 3771 Stefani Rd, Cantonment, FL 32533-7795 | 2020-10-06 |
| 1184221079 | Tracy Curry | Behavior Technician | 3771 Stefani Rd, Cantonment, FL 32533-7795 | 2020-10-05 |
| 1538776935 | Kendrick Douglas Rattray IIi | Behavior Technician | 3771 Stefani Rd, Cantonment, FL 32533-7795 | 2020-09-29 |
| 1588270763 | Jeremy Ruelos | Behavior Technician | 3771 Stefani Rd, Cantonment, FL 32533-7795 | 2020-09-22 |
| 1699381947 | Sheri Burgess | Behavior Technician | 3771 Stefani Rd, Cantonment, FL 32533-7795 | 2020-09-22 |
| Find all providers in CANTONMENT | ||||
| City | CANTONMENT |
| Zip Code | 32533 |
Please comment or provide details below to improve the information on MARTHA DENISE 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.