Kelly Ann Moore, BCBA
Behavior Analyst · Oak Forest, IL
Practice location
5323 Fawn CtOak Forest, IL 60452-2200
- Phone
- (312) 771-2346
NPI record
- NPI
- 1790106342
- Entity type
- Individual (Type 1)
- Enumeration date
- December 29, 2013
- Last updated
- July 9, 2025
- Certified
- July 9, 2025
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Behavior Analyst Primary | 103K00000X |
1-13-12877 | — |
Mailing address
17845 Ridgeland AveTinley Park, IL 60477-4383
- Phone
- (312) 771-2346
About Kelly Moore
Kelly Ann Moore, BCBA is a healthcare provider registered in the NPI registry with the primary taxonomy Behavior Analyst (code 103K00000X). The practice location is 5323 Fawn Ct, Oak Forest, IL 60452-2200. The NPI number 1790106342 was assigned on December 29, 2013 and the record was last updated on July 9, 2025.
Kelly Moore lists a license in the registry: #1-13-12877 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 Kelly Ann Moore, BCBA?
The NPI number is 1790106342.
What is the phone number of Kelly Moore?
The phone number listed for the practice location is (312) 771-2346.
Where is Kelly Moore located?
5323 Fawn Ct, Oak Forest, IL 60452-2200.
What is the taxonomy code for Kelly 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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