IndividualActive
Elissa Sophia Moreno
NPI 1649094079 · Behavior Technician · Tustin, CA
Elissa Sophia Moreno is a Behavior Technician provider in Tustin, CA (NPI 1649094079).
Provider details
- NPI number
- 1649094079
- 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
Basic profile(49/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr 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
3002 Dow Ave Ste 206
Tustin, CA 92780-7234
Phone: (657) 294-5113
Fax: (657) 294-5114
Street-level locationGet directions
Mailing address
3002 Dow Ave Ste 206
Tustin, CA 92780-7234
Registry dates
- Enumerated
- 2024-11-12
- Last updated
- 2024-12-17
- Certified
- 2024-12-17
Frequently asked questions
- What is Elissa Sophia Moreno's NPI number?
- Elissa Sophia Moreno's National Provider Identifier (NPI) is 1649094079, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Elissa Sophia Moreno's specialty?
- Elissa Sophia Moreno is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Elissa Sophia Moreno located?
- Elissa Sophia Moreno's practice location on file with NPPES is 3002 Dow Ave Ste 206, Tustin, CA 92780-7234.
- What is Elissa Sophia Moreno's phone number?
- The practice phone number listed in the NPPES registry for Elissa Sophia Moreno is (657) 294-5113.
- Is Elissa Sophia Moreno's NPI active?
- Yes — Elissa Sophia Moreno's NPI (1649094079) is active in the NPPES registry as of the last update on 2024-12-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.