HEAVENLY MOON
NPI 1871308296
Behavior Technician in Indianapolis, IN
About Heavenly Moon NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HEAVENLY MOON (NPI 1871308296) is an individual behavior technician in Indianapolis, Indiana, licensed in Indiana (RBT-22-234959) and active in the NPI registry since February 2025. She maintains a secondary practice location in Avon.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
INDIANAPOLIS, IN 46240
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Heavenly Moon's NPI number?
The NPI number for Heavenly Moon is 1871308296. It was assigned to this individual provider in the NPPES registry on February 12, 2025.
Where is Heavenly Moon located?
Heavenly Moon practices at 8888 Keystone Xing, Indianapolis, IN 46240. The listed phone number is (317) 205-7769.
What is Heavenly Moon's specialty?
The primary specialty registered for this NPI is Behavior Technician with taxonomy code 106S00000X.
When was this NPI record last updated?
The NPPES record for Heavenly Moon was last updated on February 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.