Michaela Rae Moore

Behavior Analyst · Kennett, MO

Individual Active NPI

NPI number 1942701503

Practice location

410 Teaco Rd
Kennett, MO 63857-3239
Phone
(870) 565-9776

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NPI record

NPI
1942701503
Entity type
Individual (Type 1)
Enumeration date
February 27, 2018
Last updated
December 10, 2024
Certified
December 10, 2024
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Behavior Analyst Primary 103K00000X 2024045907 MO
Assistant Behavior Analyst 106E00000X 0-23-14253 TN
Behavior Technician 106S00000X — —
Behavior Technician 106S00000X RBT-17-29629 LA

Other practice locations (1)

  • 634 N 12th St, Murray, KY 42071-1651 · (270) 767-6415

About Michaela Moore

Michaela Rae Moore is a healthcare provider registered in the NPI registry with the primary taxonomy Behavior Analyst (code 103K00000X). The practice location is 410 Teaco Rd, Kennett, MO 63857-3239. The NPI number 1942701503 was assigned on February 27, 2018 and the record was last updated on December 10, 2024.

Michaela Moore lists 3 licenses in the registry: #2024045907 (MO) for Behavior Analyst; #0-23-14253 (TN) for Assistant Behavior Analyst; #RBT-17-29629 (LA) for Behavior Technician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Michaela Rae Moore?

The NPI number is 1942701503.

What is the phone number of Michaela Moore?

The phone number listed for the practice location is (870) 565-9776.

Where is Michaela Moore located?

410 Teaco Rd, Kennett, MO 63857-3239.

What is the taxonomy code for Michaela 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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