MS. WEDNESDAY ANN MOORE (NPI# 1891338570) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891338570 |
| Entity Type | Individual |
| Full Name | MS. WEDNESDAY ANN MOORE |
| Practice Address |
340 Commerce Ave Ste 6 Southern Pines NC 28387-7115 |
| Mailing Address |
5188 Aberdeen Rd Raeford NC 28376-7836 |
| Practice Telephone | 9106883646 |
| Mailing Telephone | 9294249763 |
| Enumeration Date | 2019-10-24 |
| Last Update Date | 2019-10-24 |
| 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 |
| Street Address |
340 COMMERCE AVE STE 6 |
| City | SOUTHERN PINES |
| State | NC |
| Zip Code | 28387-7115 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023347432 | Katie Cole Strathmann | Social Worker | 340 Commerce Ave Ste 6, Southern Pines, NC 28387-7115 | 2009-12-14 |
| 1538782313 | Shannon Gillooly | Behavior Technician | 340 Commerce Ave Ste 6, Southern Pines, NC 28387-7115 | 2020-05-27 |
| 1528692951 | Harlie Dillard | Student in an Organized Health Care Education/Training Program | 340 Commerce Ave Ste 6, Southern Pines, NC 28387-7115 | 2020-02-25 |
| 1003448093 | Madison Todd | Behavior Technician | 340 Commerce Ave Ste 6, Southern Pines, NC 28387-7115 | 2020-02-07 |
| 1316579485 | Erica Penko | Behavior Technician | 340 Commerce Ave Ste 6, Southern Pines, NC 28387-7115 | 2020-02-06 |
| 1649813155 | Olivia Small | Behavior Technician | 340 Commerce Ave Ste 6, Southern Pines, NC 28387-7115 | 2019-10-28 |
| 1396388815 | Emily Hardy | Behavior Technician | 340 Commerce Ave Ste 6, Southern Pines, NC 28387-7115 | 2019-10-28 |
| 1316580095 | Laurel Smith | Behavioral Analyst | 340 Commerce Ave Ste 6, Southern Pines, NC 28387-7115 | 2019-10-24 |
| 1770126526 | Breanna Sheaffer | Behavior Technician | 340 Commerce Ave Ste 6, Southern Pines, NC 28387-7115 | 2019-10-24 |
| 1609419548 | Jessica Day | Behavior Technician | 340 Commerce Ave Ste 6, Southern Pines, NC 28387-7115 | 2019-10-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861972028 | Wright and Associates X Dds Pa | Dentist | 10677 Nc Hwy 15-501, Southern Pines, NC 28387 | 2018-08-17 |
| 1821507294 | Brooke Ashley Thomas | Physical Therapist | 275 Pinehurst Ave Suite B, Southern Pines, NC 28387 | 2017-09-28 |
| 1497208987 | Laura Permelia Jackson | Specialist/Technologist | 3300 Airport Road, Southern Pines, NC 28387 | 2016-08-01 |
| 1164860417 | Monarch | Community/Behavioral Health | 1662 Richards St, Southern Pines, NC 28387 | 2013-06-10 |
| 1619313202 | Nicole Jacobs | Psychiatry & Neurology | 195 West Illinois Avenue, Attn: April Smith, Southern Pines, NC 28387 | 2013-05-22 |
| 1932458395 | Heather N Dunning | Social Worker | 230 Murray Hill Rd, Southern Pines, NC 28387 | 2012-08-31 |
| 1487948451 | Hugh Perry Gayman Jr. | Physical Therapist | 103 Gossman Dr, Southern Pines, NC 28387 | 2011-06-07 |
| 1083919245 | John Adam Petty | Chiropractor | 1295 Old Us 1, Suite F, Southern Pines, NC 28387 | 2011-01-20 |
| 1962704775 | Specialty Pharmacy-southern Pines LLC | Pharmacy | 735 S. Bennett St., Southern Pines, NC 28387 | 2010-11-30 |
| 1922317080 | At Home Senior Services, Inc. | Home Health | 340 Commerce Avenue, Suite 14-a Yadkin Plaza, Southern Pines, NC 28387 | 2010-10-06 |
| Find all providers in zip 28387 | ||||
| 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 |
|---|---|---|---|---|
| 1417430703 | Taylor Renae Inglis | Behavior Technician | 375 Se Broad St Ste A, Southern Pines, NC 28387-6000 | 2018-09-12 |
| 1528584141 | Danielle Roject Smith | Behavior Technician | 280 Pinehurst Ave Ste 7, Southern Pines, NC 28387-7089 | 2017-08-15 |
| 1205440179 | Emma Long | Behavior Technician | 375 Se Broad St Ste A, Southern Pines, NC 28387-6000 | 2020-09-08 |
| 1497369367 | Cameron Frye | Behavior Technician | 375 Se Broad St Ste A, Southern Pines, NC 28387-6000 | 2020-09-08 |
| 1508470469 | Olivia Bortz | Behavior Technician | 375 Se Broad St Ste A, Southern Pines, NC 28387-6000 | 2020-09-08 |
| 1619589397 | Madalynn Beadell | Behavior Technician | 375 Se Broad St Ste A, Southern Pines, NC 28387-6000 | 2020-08-23 |
| 1699387761 | Cydney Baldwin | Behavior Technician | 375 Se Broad St Ste A, Southern Pines, NC 28387-6000 | 2020-08-20 |
| 1902418973 | Kelly Lavallee | Behavior Technician | 375 Se Broad St Ste A, Southern Pines, NC 28387-6000 | 2020-08-20 |
| 1063024032 | Stacy Flanagan | Behavior Technician | 375 Se Broad St Ste A, Southern Pines, NC 28387-6000 | 2020-08-20 |
| 1538782313 | Shannon Gillooly | Behavior Technician | 340 Commerce Ave Ste 6, Southern Pines, NC 28387-7115 | 2020-05-27 |
| Find all providers in SOUTHERN PINES | ||||
| City | SOUTHERN PINES |
| Zip Code | 28387 |
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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.