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

Rolisha Moore

Individual provider Behavior Technician · NPI 1578303251

Rolisha Moore is a Behavior Technician in Minneapolis, Minnesota. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

1201 W Broadway Ave
Minneapolis, MN 55411-2532
Phone: (612) 616-2974
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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 number1578303251
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 29, 2024
Last updated in NPPESMay 29, 2024
Certification dateMay 29, 2024
Mailing address1201 W Broadway Ave, Minneapolis, MN 55411-2532

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