DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: DYSTANY MOORE

MEDICARE: DYSTANY 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
1106S00000XBehavior TechnicianCT

General Provider Information

NPI Number : 1699601492
Entity Type Code : Individual
Provider Name (Legal Business Name) : DYSTANY MOORE
Provider Business Mailing Address
First Line : 350 FAIRWAY DR STE 101
Second Line :
City : DEERFIELD BEACH
State : FL
Zip : 33441-1834
Country : US
Telephone Number : 877-418-2978
Fax Number : 866-500-2186
Provider Business Practice Location Address
First Line : 360 BLOOMFIELD AVE STE 301
Second Line :
City : WINDSOR
State : CT
Zip : 06095-2700
Country : US
Telephone Number : 877-418-2978
Fax Number : 866-500-2186
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/19/2026
Last Update Date : 06/19/2026

Similar Medicare Providers

1417883885 — KAHRI WILLIAMS
Practice Location Address:
360 BLOOMFIELD AVE STE 301
WINDSOR, CT
06095-2700
Practice Phone: 877-418-2978
Practice Fax:
1912823626 — SARA ELLIOTT FARIMANI
Practice Location Address:
360 BLOOMFIELD AVE STE 301
WINDSOR, CT
06095-2700
Practice Phone: 877-418-2978
Practice Fax:
1649105735 — RYAN JAMES ORLOWSKI
Practice Location Address:
360 BLOOMFIELD AVE STE 301
WINDSOR, CT
06095-2700
Practice Phone: 860-831-4126
Practice Fax:
1184550998 — MYALIZ LOPEZ
Practice Location Address:
360 BLOOMFIELD AVE
WINDSOR, CT
06095-2700
Practice Phone: 877-418-2978
Practice Fax:
1245166008 — LINDSEY DONAHUE
Practice Location Address:
360 BLOOMFIELD AVE STE 301
WINDSOR, CT
06095-2700
Practice Phone: 877-418-2978
Practice Fax:
1619801123 — BRITTANY NICOLE SEWELL
Practice Location Address:
360 BLOOMFIELD AVE STE 301
WINDSOR, CT
06095-2700
Practice Phone: 877-418-2978
Practice Fax: 866-500-2186

Directions to “ DYSTANY 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.