IndividualActive
Kendra Moon
NPI 1083382790 · Behavior Technician · Pooler, GA
Kendra Moon is a Behavior Technician provider in Pooler, GA (NPI 1083382790).
Provider details
- NPI number
- 1083382790
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(55/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
105 Grand Central Blvd Ste 102103
Pooler, GA 31322-4148
Phone: (912) 446-2473
Approximate (ZIP-level) locationGet directions
Mailing address
300 International Pkwy Ste 200
Lake Mary, FL 32746-5028
Registry dates
- Enumerated
- 2021-08-30
- Last updated
- 2021-08-30
- Certified
- 2021-08-30
Frequently asked questions
- What is Kendra Moon's NPI number?
- Kendra Moon's National Provider Identifier (NPI) is 1083382790, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kendra Moon's specialty?
- Kendra Moon is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Kendra Moon located?
- Kendra Moon's practice location on file with NPPES is 105 Grand Central Blvd Ste 102103, Pooler, GA 31322-4148.
- What is Kendra Moon's phone number?
- The practice phone number listed in the NPPES registry for Kendra Moon is (912) 446-2473.
- Is Kendra Moon's NPI active?
- Yes — Kendra Moon's NPI (1083382790) is active in the NPPES registry as of the last update on 2021-08-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.