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Deactivated NPI 1215218250 Deactivated / Inactive NPI Male Practitioner

Jimmy Moore

Behavior Analyst • Enid, OK

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

Registration / Start Date September 05, 2011
NPI Deactivation Date January 28, 2020
Total Practice Duration ~9 Years of Practice (2011 – 2020)

Professional Overview & Biography Verified Profile Summary

Jimmy Moore was a registered Behavior Analyst practicing in Enid, OK. Throughout an active medical career spanning 9 years, Jimmy Moore provided care at the practice location at 309 W CHEROKEE AVE until profile deactivation on 2020-01-28.

Practice Location & Contact Primary Location

Practice Address

309 W Cherokee Ave

Enid, OK 737015603

Telephone 5802344700
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Analyst in Enid, OK

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

Practicing in Enid, OK (1840 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

8 Associated Practitioners
Thomas Aylward

Behavior Analyst

NPI 1326331802
Beth Colby

Clinic/Center - Mental Health (Including Community Mental Health Center)

NPI 1497114011
Kalee Childs

Behavior Analyst

NPI 1518226281
Sandra Dilldine

Counselor - Mental Health

NPI 1720177942
Janel Boyer

Behavior Analyst

NPI 1750626875
Kathy Andrews , LPC

Counselor - Mental Health

NPI 1871811760

Licensed Professional Counselor

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 January 28, 2020

Record deactivated on January 28, 2020

NPI Profile Active September 05, 2011

NPI status registered as active in NPPES database

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Updated Practice Location September 05, 2011

Registered at 309 W CHEROKEE AVE, ENID, OK 737015603 (Tel: 5802344700)

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Updated Business Mailing Address September 05, 2011

Registered at 309 W CHEROKEE AVE, ENID, OK 737015603 (Tel: 5802344700)

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Provider Name / Credentials Updated September 05, 2011

Recorded as JIMMY MOORE

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 05, 2011

Behavior Analyst

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Initial NPI Registration & Enumeration September 05, 2011

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: 1215218250
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 05, 2011
Last Update: September 05, 2011
Deactivation Date: January 28, 2020

Mailing Address

309 W Cherokee Ave

Enid, OK 737015603

Phone: 5802344700

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.