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

Haley Ann Moore, BEHAVIORALTECHNICIA

Individual provider Other Technician · NPI 1932617149

Haley Ann Moore, BEHAVIORALTECHNICIA is an Other Technician in Portland, Oregon. Licensed in Washington. Registered with an NPI since 2018.

Licensed in
WA
In the registry since
2018
Specialties on file
2

Practice location Address checks out

4949 SW Macadam Ave
Portland, OR 97239-3912
Phone: (800) 273-4292
Fax: (949) 253-4627
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X · Licence BA61107418 (WA)
Other Technician Taxonomy 247200000X

Record details

NPI number1932617149
Entity typeIndividual (Type 1)
GenderFemale
Credentials BEHAVIORALTECHNICIA
Sole proprietorNo
NPI enumeratedJanuary 22, 2018
Last updated in NPPESMay 11, 2021
Certification dateMay 11, 2021
Mailing address11037 Warner Ave # 339, Fountain Valley, CA 92708-4007

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