Moon River, LLC
NPI 1730143553ActiveOrganization· Behavior Analyst· Marietta, GA
Behavior Analyst in Marietta, Georgia, registered in NPPES in April 2006. The authorized official on file is Laura Desantis, Office Manager.
Overview
| NPI | 1730143553 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 17, 2006 |
| Last updated in NPPES | Feb 18, 2025 |
| Certified by provider | Feb 18, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Behavior Analyst Primary | 103K00000X | — | — |
| Psychologist | 103T00000X | — | — |
| Physical Therapist | 225100000X | PT003833 | GA |
| Occupational Therapist, Pediatrics | 225XP0200X | OT 004293 | GA |
| Occupational Therapist, Pediatrics | 225XP0200X | GAOT001717 | GA |
| Speech-Language Pathologist | 235Z00000X | SLP003992 | GA |
| Speech-Language Pathologist | 235Z00000X | SLP005806 | GA |
| Speech-Language Pathologist | 235Z00000X | SLP006528 | GA |
| Speech-Language Pathologist | 235Z00000X | SLP 06551 | GA |
| Speech-Language Pathologist | 235Z00000X | SLP 006556 | GA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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