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

Nickie Michelle Moore

Individual provider Behavior Technician · NPI 1174313167

Nickie Michelle Moore is a Behavior Technician in Waco, Texas. Licensed in Texas. Registered with an NPI since 2025.

Licensed in
TX
In the registry since
2025

Practice location Address checks out

6824 Logue Ln
Waco, TX 76708-7241
Phone: (254) 327-2001
Show map & directions

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

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X · Licence 24-398963 (TX)

Record details

NPI number1174313167
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 12, 2025
Last updated in NPPESMay 12, 2025
Certification dateMay 12, 2025
Mailing address6824 Logue Ln, Waco, TX 76708-7241

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