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Deactivated NPI 1649718909 Deactivated / Inactive NPI Female Practitioner

Elexis Moore

Behavior Technician • Flint, MI

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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, Elexis Moore has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date February 07, 2017
NPI Deactivation Date October 27, 2022
Total Practice Duration ~5 Years of Practice (2017 – 2022)

Professional Overview & Biography Verified Profile Summary

Elexis Moore was a registered Behavior Technician practicing in Flint, MI. Throughout an active medical career spanning 5 years, Elexis Moore provided care at the practice location at 909 STEVENS STREET until profile deactivation on 2022-10-27.

Practice Location & Contact Primary Location

Practice Address

909 Stevens Street

Flint, MI 485021620

Telephone 8102326081
Fax 8102326510
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Technician in Flint, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 3.1 Yrs
Regional Practice Density
201 Specialists

Practicing in Flint, MI (63826 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 Technician Primary Specialty

NUCC Taxonomy Code: 106S00000X

The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.

Practice Associates & Co-Workers

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

40 Associated Practitioners
Bobbie Dixon , LLMSW

Case Manager/Care Coordinator

NPI 1003264367

Limited Licensed Master Social Worker

Patricia Love

Peer Specialist

NPI 1003453267
Michele Hallock , RN

Registered Nurse

NPI 1013492297

Registered Nurse

Savanna Austin

Social Worker - Clinical

NPI 1033944681
Joshua Perry

Social Worker - Clinical

NPI 1043859325
Marguerite Jenkins , RN

Registered Nurse

NPI 1053975144

Registered Nurse

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 October 27, 2022

Record deactivated on October 27, 2022

NPI Profile Active February 07, 2017

NPI status registered as active in NPPES database

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Updated Practice Location February 07, 2017

Registered at 909 STEVENS STREET, FLINT, MI 485021620 (Tel: 8102326081)

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Updated Business Mailing Address February 07, 2017

Registered at 909 STEVENS STREET, FLINT, MI 485021620 (Tel: 8102326081)

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Provider Name / Credentials Updated February 07, 2017

Recorded as ELEXIS MOORE

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Medical Taxonomy / Specialty Registered (Primary Specialty) February 07, 2017

Behavior Technician

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Initial NPI Registration & Enumeration February 07, 2017

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: 1649718909
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 07, 2017
Last Update: February 07, 2017
Deactivation Date: October 27, 2022

Mailing Address

909 Stevens Street

Flint, MI 485021620

Phone: 8102326081

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.