Ellyssya B. Moore, BCBA

Behavior Analyst · Jackson, MS

Individual Active NPI

NPI number 1013898030

Practice location

5837 N Dale St
Jackson, MS 39211-3333
Phone
(601) 376-6670

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NPI record

NPI
1013898030
Entity type
Individual (Type 1)
Enumeration date
September 8, 2025
Last updated
September 8, 2025
Certified
September 8, 2025
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Behavior Analyst Primary 103K00000X — MS

About Ellyssya Moore

Ellyssya B. Moore, BCBA is a healthcare provider registered in the NPI registry with the primary taxonomy Behavior Analyst (code 103K00000X). The practice location is 5837 N Dale St, Jackson, MS 39211-3333. The NPI number 1013898030 was assigned on September 8, 2025 and the record was last updated on September 8, 2025.

Frequently asked questions

What is the NPI number of Ellyssya B. Moore, BCBA?

The NPI number is 1013898030.

What is the phone number of Ellyssya Moore?

The phone number listed for the practice location is (601) 376-6670.

Where is Ellyssya Moore located?

5837 N Dale St, Jackson, MS 39211-3333.

What is the taxonomy code for Ellyssya Moore?

The primary taxonomy code is 103K00000X – Behavior Analyst.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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