Active NPI 1790106342 Individual Practitioner Female Practitioner

Kelly Ann Moore , BCBA

Behavior Analyst • Oak Forest, IL

Professional Overview & Biography Verified Profile Summary

Kelly Moore, BCBA is a registered healthcare professional specializing in Behavior Analyst in Oak Forest, IL. Practice services are available at 5323 FAWN CT under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

5323 Fawn Ct

Oak Forest, IL 604522200

Telephone 3127712346

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Analyst in Oak Forest, IL

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 25.0 Yrs

State Avg: 13.3 Yrs

Regional Practice Density

7 Specialists

Practicing in Oak Forest, IL (3105 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-07-09

Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

State License None 1-13-12877

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events

📍

Updated Practice Location July 09, 2025

Registered at 5323 FAWN CT, OAK FOREST, IL 604522200 (Tel: 3127712346)

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NPI Profile Active December 29, 2013

NPI status registered as active in NPPES database

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Updated Practice Location December 29, 2013

Registered at 17845 RIDGELAND AVE, TINLEY PARK, IL 604774383 (Tel: 3127712346)

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Updated Business Mailing Address December 29, 2013

Registered at 17845 RIDGELAND AVE, TINLEY PARK, IL 604774383 (Tel: 3127712346)

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Provider Name / Credentials Updated December 29, 2013

Recorded as KELLY MOORE, BCBA

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Medical Taxonomy / Specialty Registered (Primary Specialty) December 29, 2013

Behavior Analyst (License #1-13-12877 in None)

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Initial NPI Registration & Enumeration December 29, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1790106342

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: December 29, 2013

Last Update: July 09, 2025

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

17845 Ridgeland Ave

Tinley Park, IL 604774383

Phone: 3127712346

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.