MRS. KELLY ANN MOORE BCBA
NPI 1790106342
Behavior Analyst in Oak Forest, IL

Q: What is Kelly Moore's NPI number?

The NPI number for Kelly Moore is 1790106342. It was assigned to this individual provider in the NPPES registry on December 29, 2013.

Q: What is Kelly 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 Kelly Moore was last updated on July 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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 December 29, 2013

5323 FAWN CT, OAK FOREST, IL 60452(312) 771-2346 Get Directions Write a Review

NPPES record last updated: July 9, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mrs. Kelly Ann Moore Bcba NPPES

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

MRS. KELLY ANN MOORE BCBA (NPI 1790106342) is an individual behavior analyst provider in Oak Forest, Illinois, licensed in (1-13-12877) and active in the NPI registry since December 2013.

NPPES Registry Identity

NPI1790106342

Entity TypeIndividualFemale

Primary Taxonomy103K00000X

Provider Legal NameMRS. KELLY ANN MOORECredential: BCBA

Location Address5323 FAWN CTOak Forest, IL 60452-2200

Mailing Address17845 Ridgeland AveTinley Park, IL 60477-4383 · (312) 771-2346

Phone(312) 771-2346

Sole ProprietorYes

Enumeration DateDecember 29, 2013

Last NPPES UpdateJuly 9, 2025

NPPES CertifiedJuly 9, 2025

✔ NPI 1790106342 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers

Taxonomy Code103K00000X

License✔ Licensed · 1-13-12877

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.

5323 FAWN CT, Oak Forest, IL 60452

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Moore's NPI number?

The NPI number for Kelly Moore is 1790106342. It was assigned to this individual provider in the NPPES registry on December 29, 2013.

Where is Kelly Moore located?

Kelly Moore practices at 5323 Fawn Ct, Oak Forest, IL 60452. The listed phone number is (312) 771-2346.

What is Kelly Moore's specialty?

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

When was this NPI record last updated?

The NPPES record for Kelly Moore was last updated on July 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.