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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. KELLY ANN MOORE, BCBA

Active Sole Proprietor

MRS. KELLY ANN MOORE, BCBA is a Behavior Analyst healthcare provider located in OAK FOREST, Illinois. NPI 1790106342 is currently active in the NPPES registry. Verify at CMS.

Behavior Analyst · OAK FOREST, IL

Registration Details

NPI Number
1790106342
Provider Type
Individual
Gender
Female
NPI Issued
Dec 29, 2013 (12.596872700808 yrs)
Last Updated
Jul 9, 2025
License
1-13-12877
Sole Proprietor
Yes

Practice Information

Address
5323 FAWN CT
OAK FOREST, IL, 604522200
Browse IL providers · Browse ZIP 60452
Phone
3127712346
Primary Specialty
Behavior Analyst
103K00000X

Other Behavior Analyst Providers in OAK FOREST, IL

Name Credential NPI
TAMMIE TERAE TATUM BLAKELEY 1528482544
JENNIFER ROSE LEAMY WALSH 1720624653
ERIN WINKLER 1588251870
BRITTANY ANN DELORENZO BCBA 1760059117
SARAH JEAN BRANDT 1366111957
PATRICE BROWN BCBA 1982580379
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.