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

Lakisha Moore

Individual provider Behavior Technician · NPI 1720951635

Lakisha Moore is a Behavior Technician in Bowie, Maryland. Practices as a sole proprietor. Licensed in Maryland.

Licensed in
MD
In the registry since
2025

Practice location Address checks out

12530 Fairwood Pkwy Ste 102-1126
Bowie, MD 20720-6356
Phone: (410) 995-8388
Show map & directions

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

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X (MD)

Record details

NPI number1720951635
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 26, 2025
Last updated in NPPESSeptember 26, 2025
Certification dateSeptember 26, 2025
Mailing address12530 Fairwood Pkwy Ste 102-1126, Bowie, MD 20720-6356

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