MOON RIVER, LLC – Behavior Analyst, NPI 1730143553

MOON RIVER, LLC is a healthcare provider. based in Marietta, Georgia. specializing in Behavior Analyst. The organization holds a License No. PT003833 (GA). The NPI Number for MOON RIVER, LLC is 1730143553

Main info

Organization
Name
MOON RIVER, LLC
NPI
1730143553
Phone
(770) 977-6866
Address
790 OAK TRAIL DR
Authorized Official
LAURA DESANTIS OFFICE MANAGER
Enumeration Date
17 April 2006
Last Update Date
18 February 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience90
Completeness75
Years active:20State licenses:8Digital endpointsOther names

Provider Addresses for MOON RIVER, LLC

  • 790 OAK TRAIL DR

    MARIETTA, GA 300627502

    Phone: (770) 977-6866

    Fax: (770) 977-6887

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30062)

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Reviews

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Frequently asked questions

What is the 10-digit NPI for MOON RIVER, LLC?
MOON RIVER, LLC — NPI 1730143553 — is the standard way to identify this listing.
Does CMS list MOON RIVER, LLC as active?
Yes — MOON RIVER, LLC is active in the NPI listing used on this page.
What healthcare role does MOON RIVER, LLC hold?
Scheduling teams often label MOON RIVER, LLC under Behavior Analyst. Clinical services aligned with this taxonomy classification.
Does MOON RIVER, LLC list a practice location?
Patients near Marietta, Georgia may find MOON RIVER, LLC in results; validate coverage separately.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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