Provider Demographics
NPI:1467779215
Name:MOSES, NIKKI WARQUINYA (MED, BCBA, LBA)
Entity Type:Individual
Prefix:MRS
First Name:NIKKI
Middle Name:WARQUINYA
Last Name:MOSES
Suffix:
Gender:F
Credentials:MED, BCBA, LBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4865 HEDGECOXE ROAD
Mailing Address - Street 2:SUITE 400
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75024-2408
Mailing Address - Country:US
Mailing Address - Phone:972-704-3829
Mailing Address - Fax:972-346-8036
Practice Address - Street 1:4865 HEDGCOXE RD STE 400
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75024-2408
Practice Address - Country:US
Practice Address - Phone:972-735-8080
Practice Address - Fax:972-346-8036
Is Sole Proprietor?:No
Enumeration Date:2010-05-03
Last Update Date:2023-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1-05-2618103K00000X
TX1005103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst