MEDICARE: NYLA MOORE

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	106S00000X	Behavior Technician		NC

General Provider Information

NPI Number	:	1588594865
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NYLA MOORE

Provider Business Mailing Address
First Line	:	1811 DIPLOMA CT
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27606-5184
Country	:	US
Telephone Number	:	585-200-4746
Fax Number	:

Provider Business Practice Location Address
First Line	:	2802 NEW BIRCH DR STE 100
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27610-7000
Country	:	US
Telephone Number	:	585-200-4746
Fax Number	:

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

Provider Enumeration Date	:	05/20/2026
Last Update Date	:	05/20/2026

Similar Medicare Providers

1114566288 — NAREEA JADAY PIERRE
Practice Location Address:

2802 NEW BIRCH DR STE 100
RALEIGH, NC
27610-7000

Practice Phone: 910-273-3373
Practice Fax:

1972178705 — JULIE BENNETT
Practice Location Address:

2802 NEW BIRCH DR STE 100
RALEIGH, NC
27610-7000

Practice Phone: 919-371-2848
Practice Fax:

1992481576 — HANNA EVANGELISTO MA, LBA, BCBA
Practice Location Address:

2802 NEW BIRCH DR STE 100
RALEIGH, NC
27610-7000

Practice Phone: 919-342-6047
Practice Fax:

1962293829 — KYLEIGH ANTHONY-COATS
Practice Location Address:

2802 NEW BIRCH DR STE 100
RALEIGH, NC
27610-7000

Practice Phone: 919-342-6047
Practice Fax:

1295602720 — ANNALISE RENAE TANBERG
Practice Location Address:

2802 NEW BIRCH DR
RALEIGH, NC
27610-7000

Practice Phone: 919-342-6047
Practice Fax:

1912852401 — DUFFIA MANUEL
Practice Location Address:

2802 NEW BIRCH DR # 100
RALEIGH, NC
27610-7000

Practice Phone: 919-342-6047
Practice Fax:

Directions to “ NYLA MOORE ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.