MOON RIVER, LLC
MOON RIVER, LLC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1730143553, based in Marietta, GA. The organization lists 5 taxonomy classifications, with Behavior Analyst recorded as primary.
Getting there
The practice address on file is 790 OAK TRAIL DR, Marietta, GA 30062. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| PT003833 | GA | Physical Therapist |
| OT 004293 | GA | Pediatric Occupational Therapist |
| GAOT001717 | GA | Pediatric Occupational Therapist |
| SLP003992 | GA | Speech-Language Pathologist |
| SLP005806 | GA | Speech-Language Pathologist |
| SLP006528 | GA | Speech-Language Pathologist |
| SLP 06551 | GA | Speech-Language Pathologist |
| SLP 006556 | GA | Speech-Language Pathologist |
This provider holds licence PT003833 issued in GA. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.
What Behavior Analyst covers
A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans. NUCC Health Care Provider Taxonomy, code 103K00000X
All registered taxonomy codes
This provider registers 10 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 103K00000X | Behavior Analyst | — | — | primary |
| 103T00000X | Psychologist | — | — | |
| 225100000X | Physical Therapist | PT003833 | GA | |
| 225XP0200X | Pediatric Occupational Therapist Pediatrics | OT 004293 | GA | |
| 225XP0200X | Pediatric Occupational Therapist Pediatrics | GAOT001717 | GA | |
| 235Z00000X | Speech-Language Pathologist | SLP003992 | GA | |
| 235Z00000X | Speech-Language Pathologist | SLP005806 | GA | |
| 235Z00000X | Speech-Language Pathologist | SLP006528 | GA | |
| 235Z00000X | Speech-Language Pathologist | SLP 06551 | GA | |
| 235Z00000X | Speech-Language Pathologist | SLP 006556 | GA |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1730143553 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Apr 17, 2006 |
| Last updated | Feb 18, 2025 |
| Status | Active |
| Practice address |
790 OAK TRAIL DR Marietta, GA 30062 (770) 977-6866 Fax (770) 977-6887 |
| Other identifiers |
000970835A
· Medicaid (GA) 317872221A · Medicaid (GA) 503885675B · Medicaid (GA) 315889908A · Medicaid (GA) 339518223A · Medicaid (GA) 516643175A · Medicaid (GA) 761415888A · Medicaid (GA) 765677599A · Medicaid (GA) 814363142A · Medicaid (GA) 188883028B · Medicaid (GA) 426315361A · Medicaid (GA) 000753563E · Medicaid (GA) 191707573A · Medicaid (GA) 461168837A · Medicaid (GA) 481436178B · Medicaid (GA) 000860736B · Medicaid (GA) 240960806A · Medicaid (GA) 850524466A · Medicaid (GA) 146855825A · Medicaid (GA) 986209149B · Medicaid (GA) |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 7 | 3 | 0 | 1 | 4 | 3 | 5 | 5 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 7 | 6 | 0 | 2 | 4 | 6 | 5 | 1 |
Sum = 57 · next multiple of 10 = 60 · check digit = 3 · actual last digit = 3
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.