MEDICARE: DR. LENESHA MOYEGUN EDD, BCBA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103K00000X	Behavior Analyst	2026-091	AL

General Provider Information

NPI Number	:	1548900129
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LENESHA MOYEGUN EDD, BCBA

Provider Business Mailing Address
First Line	:	3000 GALLERIA CIR STE 1500
Second Line	:
City	:	HOOVER
State	:	AL
Zip	:	35244-2445
Country	:	US
Telephone Number	:	205-578-8689
Fax Number	:

Provider Business Practice Location Address
First Line	:	3000 GALLERIA CIR STE 1500
Second Line	:
City	:	HOOVER
State	:	AL
Zip	:	35244-2445
Country	:	US
Telephone Number	:	205-578-8689
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/31/2022
Last Update Date	:	06/26/2026

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