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

Sidney Moore

Individual provider Behavior Technician · NPI 1104691880

Sidney Moore is a Behavior Technician in Grand Rapids, Michigan. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

4829 E Beltline Ave NE Ste 310
Grand Rapids, MI 49525-9350
Phone: (616) 279-6414
Fax: (616) 591-3393
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 number1104691880
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 22, 2023
Last updated in NPPESNovember 22, 2023
Certification dateNovember 22, 2023

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