MICHAELA RAE MOORE
NPI 1942701503
Behavior Analyst in Kennett, MO

Active since February 27, 2018
410 TEACO RD, KENNETT, MO 63857(870) 565-9776 Get Directions Write a Review

NPPES record last updated: December 10, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 10, 2024, Oct 4, 2024, Aug 5, 2021 and 1 more (4 updates tracked since 2018).

  • Individual
  • Female
  • Behavior Analyst

About MICHAELA MOORE

This page provides the complete NPI Profile along with additional information for Michaela Moore, a provider established in Kennett, Missouri with a medical specialization in Behavior Analyst. The healthcare provider is registered in the NPI registry with number 1942701503 assigned on February 2018. The practitioner's primary taxonomy code is 103K00000X with license number 2024045907 (MO). The provider is registered as an individual and her NPI record was last updated 2 years ago.

NPI
1942701503 Verify this NPI
Provider Name
MICHAELA RAE MOORE
Gender
Female
Entity Type
Individual
Location Address
410 TEACO RD KENNETT, MO 63857
Location Phone
(870) 565-9776
Mailing Address
410 TEACO RD KENNETT, MO 63857
Mailing Phone
(870) 565-9776
Is Sole Proprietor?
No
Enumeration Date
02-27-2018
Last Update Date
12-10-2024
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Location Map

Secondary Locations

  • 634 N 12th St
    Murray, KY 42071
    (270) 767-6415

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Behavior Analyst

Taxonomy Code
103K00000X
Type
Behavioral Health & Social Service Providers
License No.
2024045907
License State
MO
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1106E00000XBehavioral Health & Social Service Providers

Assistant Behavior Analyst

0-23-14253 (TN)
2106S00000XBehavioral Health & Social Service Providers

Behavior Technician

 
3106S00000XBehavioral Health & Social Service Providers

Behavior Technician

RBT-17-29629 (LA)

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Behavior Analyst
410 TEACO RD
KENNETT, MO 63857

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1942701503, enumerated as an "individual" on February 27, 2018.

The provider is located at 410 TEACO RD KENNETT, MO 63857 and the phone number is (870) 565-9776.

Behavior Analyst with taxonomy code 103K00000X.