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Kelly Ann Moore , BCBA

Behavior Analyst β€’ Oak Forest, IL

Active NPI 1790106342 Individual Practitioner Female Practitioner
Practice location in NPPES

5323 Fawn Ct
Oak Forest, IL 604522200

Call 3127712346 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

5323 Fawn Ct

Oak Forest, IL 604522200

Telephone 3127712346

NPI first issued

2013

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Oak Forest and Illinois

7 active clinicians are listed under Behavior Analyst with a practice address in Oak Forest, IL (3,085 in Illinois).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-07-09
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

License # reported to NPPES 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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Illinois Department of Financial and Professional Regulation.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
πŸ“
Updated Practice Location July 09, 2025

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

βœ…
NPI Profile Active December 29, 2013

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) December 29, 2013

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

πŸ“
Business Mailing Address (Initial Record) December 29, 2013

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

πŸ‘€
Provider Name / Credentials (Initial Record) December 29, 2013

Recorded as KELLY MOORE, BCBA

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

Behavior Analyst (license number reported to NPPES: None 1-13-12877)

🟒
Initial NPI Registration & Enumeration December 29, 2013

First registered as active Individual Practitioner in NPPES Database.

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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

Mailing Address

17845 Ridgeland Ave

Tinley Park, IL 604774383

Phone: 3127712346

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.