Individual ProviderJody Ballard MooreBehavior TechnicianBehavioral Health & Social Service ProvidersPractice Address421 Fayettevelle Street, Suite 100, Raleigh, NC 27601(877) 418-2978PECOS EnrollmentBased on the most recent information from CMS, provider Jody Ballard Moore does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 4 days ago.Profile DetailsProvider ID1619694718Provider TypeIndividualFull NameMoore, Jody BallardTitleMrs.GenderFemaleSole ProprietorNoEnumeration Date10/20/2022Last Updated10/20/2022Contact InformationPractice LocationPractice Address421 Fayettevelle Street, Suite 100, Raleigh, NC 27601Phone(877) 418-2978FaxUnlisted FaxMailing LocationMailing Address350 Fairway Dr Ste 101, Deerfield Beach, FL 33441-1834Phone(877) 418-2978Fax(866) 500-2186Provider TaxonomiesCodeDescriptionLicenseCode106S00000XPrimaryDescriptionBehavior TechnicianBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerNorth Carolina