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

Kevin Deandre Moore

Individual provider Behavior Technician · NPI 1902723869

Kevin Deandre Moore is a Behavior Technician in Mesa, Arizona. Licensed in Arizona. Registered with an NPI since 2026.

Licensed in
AZ
In the registry since
2026

Practice location Address checks out

3048 E Baseline Rd Ste 101
Mesa, AZ 85204-7287
Phone: (520) 231-7380
Show map & directions

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

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X (AZ)

Record details

NPI number1902723869
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 1, 2026
Last updated in NPPESJuly 1, 2026
Certification dateJuly 1, 2026
Mailing address912 E 10th St, Mesa, AZ 85203-5632

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