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

Tracy Latisha Moreno

Individual provider Behavior Technician · NPI 1376485896

Tracy Latisha Moreno is a Behavior Technician in Broken Arrow, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2026.

Licensed in
OK
In the registry since
2026

Practice location Address checks out

20426 E 47th St S
Broken Arrow, OK 74014-8825
Phone: (918) 282-6050
Show map & directions

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

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X (OK)

Record details

NPI number1376485896
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 6, 2026
Last updated in NPPESApril 6, 2026
Certification dateApril 6, 2026
Mailing address20426 E 47th St S, Broken Arrow, OK 74014-8825

Other providers in Broken Arrow