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

Jonathan Moore, PRS

Individual provider Case Manager/Care Coordinator · NPI 1558116087

Jonathan Moore, PRS is a Case Manager/Care Coordinator in Dayton, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2024
Specialties on file
3

Practice location Address checks out

865 S Patterson Blvd
Dayton, OH 45402-2624
Phone: (937) 966-4673
Show map & directions

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

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X · Licence APS.004937 (OH)
Case Manager/Care Coordinator Taxonomy 171M00000X
Behavior Technician Taxonomy 106S00000X

Record details

NPI number1558116087
Entity typeIndividual (Type 1)
GenderMale
Credentials PRS
Sole proprietorYes
NPI enumeratedApril 18, 2024
Last updated in NPPESApril 15, 2025
Certification dateApril 15, 2025
Mailing address100 Crowne Point Pl, Cincinnati, OH 45241-5427

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