Individual provider · Type 1 NPI

Shannon Moore

Behavior Technician · San Diego, CA

NPI number 1134091176 Active

Practice location

2667 Camino Del Rio S Ste 114
San Diego, CA 92108-3763

Call (619) 598-2924 Map

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician Primary 106S00000XNone listed

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…

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About NPI 1134091176

Shannon Moore's National Provider Identifier is 1134091176, issued on Sep 19, 2025. The primary taxonomy on file is Behavior Technician (106S00000X), and the practice location is in San Diego, CA. The record was last updated on Sep 19, 2025.