Individual provider · Type 1 NPI

Talisa Renee Moore

Behavior Technician · Southfield, MI

NPI number 1265390041 Active

Practice location

23800 W 10 Mile Rd Ste 105
Southfield, MI 48033-3199

Call (248) 450-6500 Map

Mailing address

220 W Congress St Fl 2
Detroit, MI 48226-3289

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 1265390041

Talisa Renee Moore's National Provider Identifier is 1265390041, issued on Jan 12, 2026. The primary taxonomy on file is Behavior Technician (106S00000X), and the practice location is in Southfield, MI. The record was last updated on Aug 23, 2026.