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

Jonathan Moore, MSED

Individual provider Behavior Technician · NPI 1154816502

Jonathan Moore, MSED is a Behavior Technician in Traverse City, Michigan. Registered with an NPI since 2018.

In the registry since
2018

Practice location Address checks out

1363 Douglas Dr
Traverse City, MI 49696-8980
Phone: (231) 668-4909
Show map & directions

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

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1154816502
Entity typeIndividual (Type 1)
GenderMale
Credentials MSED
Sole proprietorNo
NPI enumeratedJune 28, 2018
Last updated in NPPESJune 28, 2018

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