Mrs Kristen Jenetta Moore, OTR/L is a
Behavior Technician based in Irvine, California. Mrs Kristen Jenetta Moore is licensed to practice in * (Not Available) (license number ) and her current practice location is
16782 Von Karman Ave Ste 11, Irvine, California. She can be reached at her office (for appointments etc.) via phone at
(949) 833-2237.
NPI number for Mrs Kristen Jenetta Moore is 1467908723 and her current mailing address is 16782 Von Karman Ave Ste 11, Irvine, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1467908723.
Healthcare Provider's Profile
| Full Name | Mrs Kristen Jenetta Moore |
|---|
| Gender | Female |
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| Speciality | Behavior Technician |
|---|
| Location | 16782 Von Karman Ave Ste 11, Irvine, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1467908723
- Provider Enumeration Date: 08/28/2016
- Last Update Date: 07/25/2019
Medical Identifiers
Medical identifiers for Mrs Kristen Jenetta Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1467908723 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225XP0019X | Occupational Therapist - Physical Rehabilitation | 16467 (California) | Secondary |
| 106S00000X | Behavior Technician | (* (Not Available)) | 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 Kristen Jenetta Moore 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 Kristen Jenetta Moore, OTR/L
16782 Von Karman Ave Ste 11,
Irvine, CA 92606-2417
Ph: (949) 833-2237 | Mrs Kristen Jenetta Moore, OTR/L
16782 Von Karman Ave Ste 11,
Irvine, CA 92606
Ph: (949) 833-2237 |
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