Individual provider · Type 1 NPI

Samantha Moore, RBT

Behavior Technician · Sun City West, AZ

NPI number 1265198352 Active

Practice location

14510 W Shumway Dr Ste 200
Sun City West, AZ 85375-5817

Fax (317) 520-8200

Mailing address

3500 Depauw Blvd Ste 3070
Indianapolis, IN 46268-6135

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician Primary 106S00000XRBT-21-192379 (AZ)

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 1265198352

Samantha Moore, RBT's National Provider Identifier is 1265198352, issued on Nov 12, 2021. The primary taxonomy on file is Behavior Technician (106S00000X), and the practice location is in Sun City West, AZ. The record was last updated on Nov 12, 2021.