Colin Lance Moore, BCBA

Behavior Analyst · Batavia, IL

Individual Active NPI

NPI number 1508043183

Practice location

1133 W Wilson St Apt E
Batavia, IL 60510-1884
Phone
(812) 814-0182
Fax
(812) 814-0182

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NPI record

NPI
1508043183
Entity type
Individual (Type 1)
Enumeration date
January 26, 2008
Last updated
January 8, 2024
Certified
January 8, 2024
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Behavior Analyst Primary 103K00000X 1-14-0724 IL
Mental Health Counselor 101YM0800X — —
Intellectual & Developmental Disabilities Psychologist 103TM1800X — —
Psychoanalysis Psychologist 103TP0814X — —

About Colin Moore

Colin Lance Moore, BCBA is a healthcare provider registered in the NPI registry with the primary taxonomy Behavior Analyst (code 103K00000X). The practice location is 1133 W Wilson St Apt E, Batavia, IL 60510-1884. The NPI number 1508043183 was assigned on January 26, 2008 and the record was last updated on January 8, 2024.

Colin Moore lists a license in the registry: #1-14-0724 (IL) for Behavior Analyst. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Colin Lance Moore, BCBA?

The NPI number is 1508043183.

What is the phone number of Colin Moore?

The phone number listed for the practice location is (812) 814-0182.

Where is Colin Moore located?

1133 W Wilson St Apt E, Batavia, IL 60510-1884.

What is the taxonomy code for Colin Moore?

The primary taxonomy code is 103K00000X – Behavior Analyst; 3 more listed above.

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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