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NPI Code Detail

MEDICARE: JOEDANY MOISE

MEDICARE: JOEDANY MOISE
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 TechnicianGA

General Provider Information

NPI Number : 1851225254
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOEDANY MOISE
Provider Business Mailing Address
First Line : 1231 CAVE SPRINGS RD
Second Line :
City : DOUGLASVILLE
State : GA
Zip : 30134-3614
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 260 PEACHTREE ST NW STE 2200
Second Line :
City : ATLANTA
State : GA
Zip : 30303-1292
Country : US
Telephone Number : 855-832-6727
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/10/2026
Last Update Date : 06/10/2026

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Directions to “ JOEDANY MOISE ” Practice Location

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