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

Lance Ray Moore

Individual provider Behavior Technician · NPI 1134065881

Lance Ray Moore is a Behavior Technician in Brooklyn, New York. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

1649 61st St
Brooklyn, NY 11204-2746
Phone: (212) 481-4040
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1134065881
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 27, 2026
Last updated in NPPESApril 27, 2026
Certification dateApril 26, 2026
Mailing address1649 61st St, Brooklyn, NY 11204-2746

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