Fonda Moore
Behavior Technician in Muncie, IN. Individual provider (NPI-1).
NPI number1265142467
StatusActive
Last updated in NPPESNov 29, 2022
Details
- NPI
- 1265142467
- Entity type
- Individual (NPI-1)
- Name
- Fonda Moore
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 29, 2022
- Certification date
- Nov 29, 2022
- Last updated
- Nov 29, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
3715 S Madison StMuncie, IN 47302-5756
Phone 765-283-4329
Mailing address
3715 S Madison StMuncie, IN 47302-5756
Phone 765-283-4329
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 635 Behavior Technician providers in Muncie · All 3,244 providers in Muncie
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