Bonnie Madeline Moore, MA, LPC is a
Behavior Analyst based in Houston, Texas. Bonnie Madeline Moore is licensed to practice in Texas (license number 19539 233304) and her current practice location is
1922 Wagon Gap Trl, Houston, Texas. She can be reached at her office (for appointments etc.) via phone at
(281) 444-9553.
NPI number for Bonnie Madeline Moore is 1376633214 and her current mailing address is 1922 Wagon Gap Trl, Houston, Texas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1376633214.
Healthcare Provider's Profile
| Full Name | Bonnie Madeline Moore |
|---|
| Gender | Female |
|---|
| Speciality | Behavior Analyst |
|---|
| Location | 1922 Wagon Gap Trl, Houston, Texas |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1376633214
- Provider Enumeration Date: 10/13/2006
- Last Update Date: 01/30/2011
Medical Identifiers
Medical identifiers for Bonnie Madeline Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1376633214 | NPI | - | NPPES |
| 760323389 | Other | TX | CIGNA HEALTHCARE |
| 256874 | Other | TX | OLD COMPSYCH |
| 570718 | Other | TX | VALUEOPTIONS MHS# |
| 11664355 | Other | TX | OLD AETNA BEHAVIORAL HEALTH |
| 1477756278 | Other | TX | PURPOSE PSYCHOLOGY NPI |
| 403328 | Other | TX | PURPOSE PSYCHOLOGY'S MHN # |
| 85495L | Other | TX | BCBS |
| H07190LC01 | Other | TX | OLD BCBS |
| 2554015 | Other | TX | CIGNA BEHAVIORAL HEALTH |
| 365283 | Other | TX | MHN PROVIDER ID |
| H00028QK01 | Other | TX | PURPOSE PSYCHOLOGY BCBS |
| H07280LC01 | Other | TX | OLD BCBS NUMBER |
| H085495L | Other | TX | BCBS FULL NUMBER |
| 21299221648 | Other | TX | BEECHSTREET |
| 9443845 | Other | TX | OLD PHCS MULTI-PLAN |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TC1900X | Psychologist - Counseling | 19539 233304 (Texas) | Secondary |
| 103TF0200X | Psychologist - Forensic | 19539 233304 (Texas) | Secondary |
| 103K00000X | Behavior Analyst | 19539 233304 (Texas) | Primary |
| 101YP2500X | Counselor - Professional | 19539 233304 (Texas) | Secondary |
| 101YP2500X | Counselor - Professional | 19539 (Texas) | Secondary |
| 102L00000X | Psychoanalyst | 19539 (Texas) | Secondary |
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. Bonnie Madeline 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 |
|---|
Bonnie Madeline Moore, MA, LPC
1922 Wagon Gap Trl,
Houston, TX 77090-1026
Ph: (281) 444-9553 | Bonnie Madeline Moore, MA, LPC
1922 Wagon Gap Trl,
Houston, TX 77090-1026
Ph: (281) 444-9553 |
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