Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1215536461 Deactivated / Inactive NPI Female Practitioner

Keilan M Moreira , RBT

Behavior Analyst • Fort Wayne, IN

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Keilan Moreira has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 20, 2020
NPI Deactivation Date November 29, 2021
Total Practice Duration ~1 Years of Practice (2020 – 2021)

Professional Overview & Biography Verified Profile Summary

Keilan Moreira, RBT was a registered Behavior Analyst practicing in Fort Wayne, IN. Throughout an active medical career spanning 1 years, Keilan Moreira provided care at the practice location at 5601 COVENTRY LN until profile deactivation on 2021-11-29.

Practice Location & Contact Primary Location

Practice Address

5601 Coventry Ln

Fort Wayne, IN 468047145

Telephone 2604596040
Associated Practice Facility / Clinic
🏢 Children's Autism Center, Inc Facility NPI 1215105663

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Analyst in Fort Wayne, IN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 6.0 Yrs
Regional Practice Density
207 Specialists

Practicing in Fort Wayne, IN (2160 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Anna Dickerson

Behavior Technician

NPI 1003606153
Emily Carnes

Behavior Technician

NPI 1003606740
Keegan Brown

Behavior Technician

NPI 1003799628
NPI 1013474220

Master of Arts, Board Certified Behavior Analyst

Hallie Shockome , BCBA

Behavior Analyst

NPI 1013618578

Board Certified Behavior Analyst

Taylor Mercado-Goeglein

Behavior Technician

NPI 1013789783

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated November 29, 2021

Record deactivated on November 29, 2021

NPI Profile Active October 20, 2020

NPI status registered as active in NPPES database

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Updated Practice Location October 20, 2020

Registered at 5601 COVENTRY LN, FORT WAYNE, IN 468047145 (Tel: 2604596040)

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Updated Business Mailing Address October 20, 2020

Registered at 5601 COVENTRY LN, FORT WAYNE, IN 468047145 (Tel: 2604596040)

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Provider Name / Credentials Updated October 20, 2020

Recorded as KEILAN MOREIRA, RBT

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Medical Taxonomy / Specialty Registered (Primary Specialty) October 20, 2020

Behavior Analyst

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Initial NPI Registration & Enumeration October 20, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1215536461
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 20, 2020
Last Update: October 20, 2020
Deactivation Date: November 29, 2021

Mailing Address

5601 Coventry Ln

Fort Wayne, IN 468047145

Phone: 2604596040

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.