MEDICARE: AALIYAH 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		TX

General Provider Information

NPI Number	:	1942135371
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AALIYAH MOORE

Provider Business Mailing Address
First Line	:	1000 E PLEASANT RUN RD APT 2625
Second Line	:
City	:	CEDAR HILL
State	:	TX
Zip	:	75104-5563
Country	:	US
Telephone Number	:	214-417-8344
Fax Number	:

Provider Business Practice Location Address
First Line	:	5510 ABRAMS RD UNIT 112
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75214-2000
Country	:	US
Telephone Number	:	469-906-6372
Fax Number	:

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

Provider Enumeration Date	:	06/16/2026
Last Update Date	:	06/18/2026

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Directions to “ AALIYAH MOORE ” Practice Location

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