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

Phoenix Laine Moore

Individual provider Behavior Technician · NPI 1811876931

Phoenix Laine Moore is a Behavior Technician in Woodbury, Minnesota. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

748 Bielenberg Dr Ste 140
Woodbury, MN 55125-1407
Phone: (651) 796-2306
Show map & directions

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

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1811876931
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 2, 2025
Last updated in NPPESSeptember 2, 2025
Certification dateSeptember 2, 2025

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