Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Moon River, LLC

Q: What type of organization is Moon River, LLC?

Moon River, LLC is registered in NPPES as a Behavior Analyst (its primary provider taxonomy).

Behavior Analyst in Marietta, GA · enumerated 2006 · authorized official Laura Desantis, Office Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1730143553

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Registry record

Entity type Organization (Type 2)

Legal business name Moon River, LLC

Practice address 790 Oak Trail Dr, Marietta, GA, 30062

Phone (770) 977-6866

Fax (770) 977-6887

Enumeration date Apr 17, 2006

Last updated in NPPES Feb 18, 2025

Taxonomy & classification

103K00000X Behavior Analyst Behavioral Health & Social Service Providers Primary

103T00000X Psychologist Behavioral Health & Social Service Providers Secondary

225100000X Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers · License PT003833 (GA) Secondary

225XP0200X Pediatric Occupational Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers · License OT 004293 (GA) Secondary

225XP0200X Pediatric Occupational Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers · License GAOT001717 (GA) Secondary

235Z00000X Speech-Language Pathologist Speech, Language and Hearing Service Providers · License SLP003992 (GA) Secondary

235Z00000X Speech-Language Pathologist Speech, Language and Hearing Service Providers · License SLP005806 (GA) Secondary

235Z00000X Speech-Language Pathologist Speech, Language and Hearing Service Providers · License SLP006528 (GA) Secondary

235Z00000X Speech-Language Pathologist Speech, Language and Hearing Service Providers · License SLP 06551 (GA) Secondary

235Z00000X Speech-Language Pathologist Speech, Language and Hearing Service Providers · License SLP 006556 (GA) Secondary

Authorized official

Name Laura Desantis

Title Office Manager

Phone (770) 212-2170

Other identifiers

Identifier	Type	State	Issuer
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	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What type of organization is Moon River, LLC?

Moon River, LLC is registered in NPPES as a Behavior Analyst (its primary provider taxonomy).

What is a Type 2 NPI?

A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-02-18.