RYAN MOORE (NPI# 1578066478) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578066478 |
| Entity Type | Individual |
| Full Name | RYAN MOORE |
| Practice Address |
6816 Southpoint Pkwy Ste 500 Jacksonville FL 32216-1702 |
| Mailing Address |
10175 Fortune Pkwy Unit 903 Jacksonville FL 32256-6755 |
| Practice Telephone | 9045380713 |
| Mailing Telephone | 9045380713 |
| Mailing Fax Number | 9045380714 |
| Enumeration Date | 2018-03-16 |
| Last Update Date | 2018-03-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106E00000X | Assistant Behavior Analyst | 9048 | FL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912540857 | Ryan David Moore | Military Health Care Provider | Montereale 24, Aviano, PORDENONE 33170 | 2019-10-23 |
| 1669024402 | Ryan C Moore | Occupational Therapy Assistant | 11736 Rolling Pine Ln, Port Richey, FL 34668-1150 | 2019-07-11 |
| 1518467653 | Ryan Moore | Student in an Organized Health Care Education/Training Program | 17211 W Salome St, Goodyear, AZ 85338-1826 | 2018-02-15 |
| 1114467750 | Ryan Moore | Chiropractor | 328 Alexander St Se, Suite 12, Marietta, GA 30060-2092 | 2017-03-01 |
| 1528266202 | Ryan E Moore | Orthopaedic Surgery | 6 Woodland Rd Ste 202, Saint Helena, CA 94574 | 2007-07-05 |
| 1942322557 | Ryan Curtis Moore | Counselor | 117 Se Martin Luther King Jr Blvd, Stuart, FL 34994-3043 | 2007-04-04 |
| 1346316932 | Ryan Mary Moore | Nurse Practitioner | 42575 Washington, Palm Desert, CA 92211-8850 | 2006-11-27 |
| 1669096459 | Ryan Moore | Counselor | 4977 Northcutt Pl, Dayton, OH 45414-3839 | 2020-06-08 |
| 1891316600 | Ryan L Moore | Respiratory Therapist, Registered | 1670 Clairmont Rd, Decatur, GA 30033-4004 | 2020-05-04 |
| 1073145264 | Ryan Moore | Registered Nurse | 1155 Dairy Ashford Rd Ste 560, Houston, TX 77079-3035 | 2020-02-06 |
| Street Address |
6816 SOUTHPOINT PKWY STE 500 |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32216-1702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700318896 | Christina Kaczmarek | Behavior Technician | 6816 Southpoint Pkwy Ste 500, Jacksonville, FL 32216 | 2017-03-29 |
| 1679187959 | Dylan Spruill | Behavioral Analyst | 6816 Southpoint Pkwy Ste 500, Jacksonville, FL 32216-1702 | 2020-09-03 |
| 1316557820 | Brandon Stadnicki | Behavioral Analyst | 6816 Southpoint Pkwy Ste 500, Jacksonville, FL 32216-1702 | 2020-08-10 |
| 1033683016 | Allyson Lummus | Developmental Therapist | 6816 Southpoint Pkwy Ste 500, Jacksonville, FL 32216-1702 | 2019-01-14 |
| 1952886384 | Laura Arrington | Behavior Technician | 6816 Southpoint Pkwy Ste 500, Jacksonville, FL 32216-1702 | 2018-10-02 |
| 1699265181 | Danica Tan | Behavior Technician | 6816 Southpoint Pkwy Ste 500, Jacksonville, FL 32216-1702 | 2018-05-10 |
| 1265921597 | Angela Jevince | Behavior Technician | 6816 Southpoint Pkwy Ste 500, Jacksonville, FL 32216-1702 | 2018-05-02 |
| 1467940460 | Megan Mclean | Behavior Technician | 6816 Southpoint Pkwy Ste 500, Jacksonville, FL 32216-1702 | 2018-04-25 |
| 1487155289 | Margaret Sanders | Behavior Technician | 6816 Southpoint Pkwy Ste 500, Jacksonville, FL 32216-1702 | 2018-02-27 |
| 1316448434 | Osborn Blount | Behavior Technician | 6816 Southpoint Pkwy Ste 500, Jacksonville, FL 32216-1702 | 2018-02-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013524925 | Renee Cherie Titus | Behavior Technician | Growing Together Center 6789 Southpoint Parkway, Building 100, Jacksonville, FL 32216 | 2020-09-24 |
| 1811546575 | First Coast Orthopedic Center, LLC | Clinic/Center | 4035 Southpoint Boulevard, Jacksonville, FL 32216 | 2019-09-05 |
| 1922578558 | Fatima Hussain Crofton | Optometrist | 7051 Southpoint Parkway S 300, Jacksonville, FL 32216 | 2018-11-27 |
| 1154802833 | John-paul Pham | Internal Medicine | 4141 Southpoint Drive East, Suite D, Jacksonville, FL 32216 | 2018-08-22 |
| 1790279479 | Joseph Richard Kennedy | Physician Assistant | 6650 Corporate Center Pkwy Apt 1604, Jacksonville, FL 32216 | 2018-06-18 |
| 1801304357 | Kelli M. Tyson | Nurse Practitioner | 3550 University Blvd. S., Ste 302, Jacksonville, FL 32216 | 2018-01-18 |
| 1376054809 | Angela M Whittinghill | Counselor | 8833 Perimeter Park Blvd #702, Jacksonville, FL 32216 | 2017-10-24 |
| 1629508072 | Zoryana Yufan | Dentist | 8750 Perimeter Park Blvd Ste 101, Jacksonville, FL 32216 | 2017-06-19 |
| 1932640422 | Loudine Racius | Nurse Practitioner | 8539 Gate Parkway W, Unit 1422, Jacksonville, FL 32216 | 2017-03-16 |
| 1356889232 | Sheila Casabar | Registered Nurse | 3615 University Blvd S, Jacksonville, FL 32216 | 2017-02-10 |
| Find all providers in zip 32216 | ||||
| Taxonomy Code | 106E00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Assistant Behavior Analyst |
| An assistant behavior analyst is qualified by Behavior Analyst Certification Board certification and/or a state-issued license or credential in behavior analysis to practice under the supervision of an appropriately credentialed professional behavior analyst. An assistant behavior analyst delivers services consistent with the dimensions of applied behavior analysis and supervision requirements defined in state laws or regulations and/or national certification standards. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing behavior-analytic treatment plans, training and supervising others in implementation of components of treatment plans, and direct implementation of treatment plans. |
| 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 |
|---|---|---|---|---|
| 1699319210 | Elizabeth Mack | Assistant Behavior Analyst | 7929 Eaton Ave, Jacksonville, FL 32211-7848 | 2019-11-06 |
| 1093259095 | Sherri Stinson | Assistant Behavior Analyst | 3011d John Paul Jones Ct, Jacksonville, FL 32221-2406 | 2016-12-09 |
| 1275175408 | Ernisha M Sistrunk | Assistant Behavior Analyst | 6816 Southpoint Pkwy Ste 202, Jacksonville, FL 32216-1701 | 2019-10-09 |
| 1376079905 | Ashley Raynor | Assistant Behavior Analyst | 10175 Fortune Pkwy, Suite 903, Jacksonville, FL 32256-6746 | 2017-05-02 |
| 1497280945 | Thomas Ulwelling | Assistant Behavior Analyst | 9000 Cypress Green Dr, Jacksonville, FL 32256-7791 | 2017-04-21 |
| 1952834434 | Mollie Gibson | Assistant Behavior Analyst | 10175 Fortune Pkwy, Suite 903, Jacksonville, FL 32256-6746 | 2017-04-11 |
| 1720511728 | Desiree Adams | Assistant Behavior Analyst | 10175 Fortune Pkwy, Suite 903, Jacksonville, FL 32256-6746 | 2017-04-06 |
| 1538691555 | Meghan Rhegness | Assistant Behavior Analyst | 10175 Fortune Pkwy, Suite 903, Jacksonville, FL 32256-6746 | 2017-03-29 |
| 1568906048 | Alicia Miller | Assistant Behavior Analyst | 10175 Fortune Pkwy, Suite 903, Jacksonville, FL 32256-6746 | 2016-12-19 |
| 1720522352 | Lavyn Taylor | Assistant Behavior Analyst | 10175 Fortune Pkwy, Suite 903, Jacksonville, FL 32256-6746 | 2016-12-16 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32216 |
Please comment or provide details below to improve the information on RYAN 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.