Healthcare Provider Details

I. General information

NPI: 1558292847
Provider Name (Legal Business Name): FRANK D MOYA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/26/2026
Last Update Date: 05/26/2026
Certification Date: 05/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6781 GREENE ST
HOLLYWOOD FL
33024-2831
US

IV. Provider business mailing address

6781 GREENE ST
HOLLYWOOD FL
33024-2831
US

V. Phone/Fax

Practice location:
  • Phone: 954-928-6838
  • Fax:
Mailing address:
  • Phone: 954-928-6838
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106E00000X
TaxonomyAssistant Behavior Analyst
License Number
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: