Mrs Keisha Moeller, BCBA is a
Behavior Analyst based in Scranton, Pennsylvania. Mrs Keisha Moeller is licensed to practice in California (license number 1-11-9368) and her current practice location is
1509 Maple St, Scranton, Pennsylvania. She can be reached at her office (for appointments etc.) via phone at
(818) 216-2764.
NPI number for Mrs Keisha Moeller is 1104119247 and her current mailing address is 1509 Maple St, Scranton, Pennsylvania. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1104119247.
Healthcare Provider's Profile
Full Name | Mrs Keisha Moeller |
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Gender | Female |
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Speciality | Behavior Analyst |
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Location | 1509 Maple St, Scranton, Pennsylvania |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1104119247
- Provider Enumeration Date: 05/24/2011
- Last Update Date: 04/03/2012
Medical Identifiers
Medical identifiers for Mrs Keisha Moeller such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1104119247 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
106H00000X | Marriage & Family Therapist | IMF66160 (California) | Secondary |
103K00000X | Behavior Analyst | 1-11-9368 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Keisha Moeller is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mrs Keisha Moeller, BCBA 1509 Maple St, Scranton, PA 18505-2707 Ph: (818) 216-2764 | Mrs Keisha Moeller, BCBA 1509 Maple St, Scranton, PA 18505-2707 Ph: (818) 216-2764 |
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