Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1265026710 Individual Practitioner Female Practitioner

Amanda Moore

Behavior Analyst • Grand Rapids, MI

Professional Overview & Biography Verified Profile Summary

Amanda Moore is a registered healthcare professional specializing in Behavior Analyst in Grand Rapids, MI. Practice services are available at 790 FULLER AVE NE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

790 Fuller Ave Ne

Grand Rapids, MI 495031918

Telephone 6163363909
Fax 6163368830
Associated Practice Facility / Clinic
🏢 Kent County Cmh Authority Facility NPI 1134212442

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Analyst in Grand Rapids, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 11.0 Yrs
State Avg: 13.0 Yrs
Regional Practice Density
252 Specialists

Practicing in Grand Rapids, MI (3207 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: 2025-08-21
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

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.

Secondary Practice Locations

600 3 Mile Rd Nw Ste 200

Grand Rapids, MI 495441691

Phone: 8558326727

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Diana Duarte-Menendez , LMSW

Social Worker - Clinical

NPI 1003490111

Licensed Master Social Worker

Jalisa Smith , LLMSW

Case Manager/Care Coordinator

NPI 1003631862

Limited Licensed Master Social Worker

Mackenzie Clegg

Behavior Analyst

NPI 1013468065
David Marshall , LPC

Counselor - Professional

NPI 1023116324

Licensed Professional Counselor

NPI 1023318557

Limited Licensed Master Social Worker

Julia Vogel , LMSW

Social Worker - Clinical

NPI 1023506458

Licensed Master Social Worker

Career & Practice History Timeline

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

12 Historical Events
📍
Updated Practice Location April 25, 2024

Registered at 790 FULLER AVE NE, GRAND RAPIDS, MI 495031918 (Tel: 6163363909)

📍
Updated Business Mailing Address April 25, 2024

Registered at 790 FULLER AVE NE, GRAND RAPIDS, MI 495031918 (Tel: 6163363909)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 14, 2024

Behavior Analyst

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 21, 2023

Counselor

📍
Updated Practice Location October 15, 2021

Registered at 120 STEVENS ST SW, GRAND RAPIDS, MI 495071526 (Tel: 8558326727)

📍
Updated Business Mailing Address October 15, 2021

Registered at 120 STEVENS ST SW, GRAND RAPIDS, MI 495071526

NPI Profile Active February 25, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location February 25, 2021

Registered at 2814 WOODCLIFF CIR SE, GRAND RAPIDS, MI 495063155 (Tel: 8558326727)

📍
Updated Business Mailing Address February 25, 2021

Registered at 7108 S KANNER HWY, STUART, FL 349977462

👤
Provider Name / Credentials Updated February 25, 2021

Recorded as AMANDA MOORE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 25, 2021

Behavior Technician

🟢
Initial NPI Registration & Enumeration February 25, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1265026710
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 25, 2021
Last Update: August 21, 2025
Sole Proprietor: No

Mailing Address

790 Fuller Ave Ne

Grand Rapids, MI 495031918

Phone: 6163363909

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.