Colin Lance Moore, BCBA is a
Behavior Analyst based in Batavia, Illinois. Colin Lance Moore is licensed to practice in Illinois (license number 1-14-0724) and his current practice location is
1133 W Wilson St Apt E, Batavia, Illinois. He can be reached at his office (for appointments etc.) via phone at
(812) 814-0182.
NPI number for Colin Lance Moore is 1508043183 and his current mailing address is 1133 W Wilson St Apt E, Batavia, Illinois. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1508043183.
Healthcare Provider's Profile
| Full Name | Colin Lance Moore |
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| Gender | Male |
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| Speciality | Behavior Analyst |
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| Location | 1133 W Wilson St Apt E, Batavia, Illinois |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1508043183
- Provider Enumeration Date: 01/26/2008
- Last Update Date: 01/08/2024
Medical Identifiers
Medical identifiers for Colin Lance Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1508043183 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 103TM1800X | Psychologist - Intellectual & Developmental Disabilities | (* (Not Available)) | Secondary |
| 103TP0814X | Psychologist - Psychoanalysis | (* (Not Available)) | Secondary |
| 103K00000X | Behavior Analyst | 1-14-0724 (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Colin Lance Moore is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Colin Lance Moore, BCBA
1133 W Wilson St Apt E,
Batavia, IL 60510-1884
Ph: (812) 814-0182 | Colin Lance Moore, BCBA
1133 W Wilson St Apt E,
Batavia, IL 60510-1884
Ph: (812) 814-0182 |
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