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Active NPI 1275815227 Individual Practitioner Male Practitioner

Casey N Moore , BCBA

Behavior Analyst • Grand Rapids, MI

Professional Overview & Biography Verified Profile Summary

Casey Moore, BCBA is a registered healthcare professional specializing in Behavior Analyst in Grand Rapids, MI. Practice services are available at 3292 N EVERGREEN DR NE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3292 N Evergreen Dr Ne

Grand Rapids, MI 495259746

Telephone 6163658920
Associated Practice Facility / Clinic

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: 2025-09-22
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

State License IN 1118439

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

12726 Hamilton Crossing Blvd

Carmel, IN 460325422

Phone: 3172492242

Practice Associates & Co-Workers

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

40 Associated Practitioners
Nancy Hamstreet , LMSW

Social Worker - School

NPI 1023381514

Licensed Master Social Worker

Renee Orr , LMSW

Social Worker

NPI 1043786023

Licensed Master Social Worker

Stephanie Brown

Social Worker - Clinical

NPI 1053077842
Sarah Devisser , LMSW

Social Worker - Clinical

NPI 1053681643

Licensed Master Social Worker

NPI 1053936161

Doctor of Medicine (M.D.), Board Certified Behavior Analyst, Licensed Behavior Analyst

Dr. Krestin Radonovich , PhD

Psychologist - Clinical

NPI 1063627396

Doctor of Philosophy (Ph.D.)

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location September 22, 2025

Registered at 3292 N EVERGREEN DR NE, GRAND RAPIDS, MI 495259746 (Tel: 6163658920)

📍
Updated Business Mailing Address September 22, 2025

Registered at 300 68TH ST SE, GRAND RAPIDS, MI 495486927 (Tel: 6164555000)

NPI Profile Active November 10, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location November 10, 2011

Registered at 12726 HAMILTON CROSSING BLVD, CARMEL, IN 460325422 (Tel: 3172492242)

📍
Updated Business Mailing Address November 10, 2011

Registered at 12726 HAMILTON CROSSING BLVD, CARMEL, IN 460325422 (Tel: 3172492242)

👤
Provider Name / Credentials Updated November 10, 2011

Recorded as CASEY MOORE, BCBA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 10, 2011

Behavior Analyst (License #1118439 in IN)

🟢
Initial NPI Registration & Enumeration September 15, 2011

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: 1275815227
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 15, 2011
Last Update: September 22, 2025
Sole Proprietor: No

Mailing Address

300 68th St Se

Grand Rapids, MI 495486927

Phone: 6164555000

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.