Amanda Moore
Behavior Analyst · Grand Rapids, MI
NPI number
1265026710
Practice location
790 Fuller Ave NEGrand Rapids, MI 49503-1918
- Phone
- (616) 336-3909
- Fax
- (616) 336-8830
NPI record
- NPI
- 1265026710
- Entity type
- Individual (Type 1)
- Enumeration date
- February 25, 2021
- Last updated
- August 21, 2025
- Certified
- August 21, 2025
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Behavior Analyst Primary | 103K00000X |
— | MI |
Other practice locations (1)
- 600 3 Mile Rd NW Ste 200, Grand Rapids, MI 49544-1691 · (855) 832-6727 ext. 1696
About Amanda Moore
Amanda Moore is a healthcare provider registered in the NPI registry with the primary taxonomy Behavior Analyst (code 103K00000X). The practice location is 790 Fuller Ave NE, Grand Rapids, MI 49503-1918. The NPI number 1265026710 was assigned on February 25, 2021 and the record was last updated on August 21, 2025.
Frequently asked questions
What is the NPI number of Amanda Moore?
The NPI number is 1265026710.
What is the phone number of Amanda Moore?
The phone number listed for the practice location is (616) 336-3909.
Where is Amanda Moore located?
790 Fuller Ave NE, Grand Rapids, MI 49503-1918.
What is the taxonomy code for Amanda 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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