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

Jacqueline Moore

Individual provider Developmental Therapist · NPI 1336702315

Jacqueline Moore is a Developmental Therapist in Indianapolis, Indiana. Registered with an NPI since 2019.

In the registry since
2019

Practice location Address checks out

6239 S East St Ste A
Indianapolis, IN 46227-2088
Phone: (317) 791-9031
Show map & directions

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

Specialties & licences

Developmental Therapist (primary) Taxonomy 222Q00000X

Record details

NPI number1336702315
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 16, 2019
Last updated in NPPESOctober 17, 2019
Mailing address6239 S East St Ste A, Indianapolis, IN 46227-2088

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