MRS. KELLY ANN MOORE (BCBA) – Behavior Analyst, NPI 1790106342

MRS. KELLY ANN MOORE (BCBA) is a healthcare provider. based in Tinley park, Illinois. specializing in Behavior Analyst. They hold the professional credentials BCBA. They hold a License No. 1-13-12877 (). The NPI Number for MRS. KELLY ANN MOORE (BCBA) is 1790106342

Main info

Female
Sole Proprietor
Name
MRS. KELLY ANN MOORE (BCBA)
NPI
1790106342
Phone
(312) 771-2346
Address
17845 RIDGELAND AVE
Enumeration Date
29 December 2013
Last Update Date
9 July 2025
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness85
Years active:12State licenses:1Digital endpointsOther names

Provider Addresses for MRS. KELLY ANN MOORE (BCBA)

  • 17845 RIDGELAND AVE

    TINLEY PARK, IL 604774383

    Phone: (312) 771-2346

    Type: Location

  • 5323 FAWN CT

    OAK FOREST, IL 604522200

    Phone: (312) 771-2346

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60477)

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Frequently asked questions

What federal number belongs to MRS. KELLY ANN MOORE (BCBA)?
The federal identifier for MRS. KELLY ANN MOORE (BCBA) is NPI 1790106342.
Is MRS. KELLY ANN MOORE (BCBA)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does MRS. KELLY ANN MOORE (BCBA) work in?
You can think of MRS. KELLY ANN MOORE (BCBA) as practicing within Behavior Analyst. Clinical services aligned with this taxonomy classification.
What location metadata exists for MRS. KELLY ANN MOORE (BCBA)?
The page summarizes Tinley Park, Illinois for MRS. KELLY ANN MOORE (BCBA); expand the address list for detail.
How can I contact MRS. KELLY ANN MOORE (BCBA)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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