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

Madelyn Moore, BCBA

Individual provider Behavior Technician · NPI 1912667866

Madelyn Moore, BCBA is a Behavior Technician in Ponte Vedra Beach, Florida. Licensed in Florida. Registered with an NPI since 2021.

Licensed in
FL
In the registry since
2021
Specialties on file
2
What do these letters mean?
BCBA — Board Certified Behavior Analyst
Designs and supervises applied behaviour analysis programmes, often for autism.

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Practice location Address checks out

185 Landrum Ln
Ponte Vedra Beach, FL 32082-3824
Phone: (904) 509-8170
Show map & directions

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

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X · Licence 1-25-79343 (FL)
Behavior Technician Taxonomy 106S00000X

Record details

NPI number1912667866
Entity typeIndividual (Type 1)
GenderFemale
Credentials BCBA
Sole proprietorNo
NPI enumeratedDecember 20, 2021
Last updated in NPPESFebruary 18, 2025
Certification dateFebruary 18, 2025
Mailing address185 Landrum Ln, Ponte Vedra, FL 32082-3824

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