Individual provider · Type 1 NPI

Kelly Ann Moore, BCBA

Behavior Analyst · Oak Forest, IL

NPI number 1790106342 Active

Practice location

5323 Fawn Ct
Oak Forest, IL 60452-2200

Mailing address

17845 Ridgeland Ave
Tinley Park, IL 60477-4383

Specialties and licenses

TaxonomyCodeLicense
Behavior Analyst Primary 103K00000X1-13-12877

Behavior Analyst: 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…

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About NPI 1790106342

Kelly Ann Moore, BCBA's National Provider Identifier is 1790106342, issued on Dec 29, 2013. The primary taxonomy on file is Behavior Analyst (103K00000X), and the practice location is in Oak Forest, IL. The record was last updated on Jul 9, 2025.