Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Brian Moon-Clark

Individual provider Behavior Technician · NPI 1245929116

Brian Moon-Clark is a Behavior Technician in Highland, California. Registered with an NPI since 2023.

In the registry since
2023
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Practice location Address checks out

3415 21st St Apt B
Highland, CA 92346-4518
Phone: (909) 633-6596
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1245929116
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 5, 2023
Last updated in NPPESMay 5, 2023
Certification dateMay 5, 2023
Mailing address3415 21st St Apt B, Highland, CA 92346-4518

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