AMANDA MOORE
NPI 1265026710
Behavior Analyst in Grand Rapids, MI

Q: What is Amanda Moore's NPI number?

The NPI number for Amanda Moore is 1265026710. It was assigned to this individual provider in the NPPES registry on February 25, 2021.

Q: What is Amanda Moore's specialty?

The primary specialty registered for this NPI is Behavior Analyst with taxonomy code 103K00000X.

Q: When was this NPI record last updated?

The NPPES record for Amanda Moore was last updated on August 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since February 25, 2021

790 FULLER AVE NE, GRAND RAPIDS, MI 49503(616) 336-3909(616) 336-8830 Get Directions Write a Review

NPPES record last updated: August 21, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 25, 2024, Oct 15, 2021, Feb 25, 2021 (3 updates tracked since 2021).

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About Amanda Moore NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMANDA MOORE (NPI 1265026710) is an individual behavior analyst provider in Grand Rapids, Michigan and active in the NPI registry since February 2021. She maintains a secondary practice location in Grand Rapids.

NPPES Registry Identity

NPI1265026710

Entity TypeIndividualFemale

Primary Taxonomy103K00000X

Provider Legal NameAMANDA MOORE

Location Address790 FULLER AVE NEGrand Rapids, MI 49503-1918

Mailing Address790 Fuller Ave NeGrand Rapids, MI 49503-1918 · (616) 336-3909 · Fax (616) 336-8830

Phone(616) 336-3909

Fax(616) 336-8830

Sole ProprietorNo

Enumeration DateFebruary 25, 2021

Last NPPES UpdateAugust 21, 20253 updates tracked since enumeration

NPPES CertifiedAugust 21, 2025

✔ NPI 1265026710 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers

Taxonomy Code103K00000X

Definition

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.

790 FULLER AVE NE, Grand Rapids, MI 49503

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Secondary Practice Location 1

Location 1600 3 Mile Rd NW Ste 200Grand Rapids, MI 49544-1691 · Phone (855) 832-6727 ext. 1696

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Oscar Insurance Company and more.Insurance ›

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.

DIANA DUARTE-MENENDEZ LMSW

Social Worker (Clinical)