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

Shanequa Ieshia Moore

Individual provider Behavior Technician · NPI 1619516846

Shanequa Ieshia Moore is a Behavior Technician in Greensboro, North Carolina. Works from 2 locations. Licensed in North Carolina.

Licensed in
NC
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

717 Green Valley Rd
Greensboro, NC 27408-2155
Phone: (818) 241-6780
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 421 Fayetteville St Ste 1100, Raleigh, NC 27601-3000 — (877) 418-2978

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X
Behavior Technician Taxonomy 106S00000X (NC)

Record details

NPI number1619516846
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 6, 2020
Last updated in NPPESFebruary 10, 2022
Certification dateFebruary 10, 2022

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