Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Amanda Moore

Behavior Analyst β€’ Grand Rapids, MI

Active NPI 1265026710 Individual Practitioner Female Practitioner
Practice location in NPPES

790 Fuller Ave Ne
Grand Rapids, MI 495031918

Call 6163363909 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

790 Fuller Ave Ne

Grand Rapids, MI 495031918

Telephone 6163363909
Fax 6163368830
Organization at the Same NPPES Address or Phone
Kent County Cmh Authority Facility NPI 1134212442

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Grand Rapids, MI. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2021

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 Grand Rapids and Michigan

252 active clinicians are listed under Behavior Analyst with a practice address in Grand Rapids, MI (3,195 in Michigan).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Grand Rapids

0% of these 252 clinicians have the CMS telehealth indicator.

0% of these 252 clinicians are listed by CMS as accepting Medicare assignment.

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: 2025-08-21
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.

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: Michigan Department of Licensing and Regulatory Affairs.
Look Up on State Board Site

Secondary Practice Locations

600 3 Mile Rd Nw Ste 200

Grand Rapids, MI 495441691

Phone: 8558326727

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

5 listed
Isabella Felzer-Kim

Psychiatry & Neurology - Psychiatry

NPI 1205572971
Dr. Robert Holwerda , DO

Psychiatry & Neurology - Psychiatry

NPI 1205995735

Doctor of Osteopathic Medicine (D.O.)

Katie Mattila , NP

Nurse Practitioner

NPI 1124891858

Nurse Practitioner

Dr. Aaron Plattner , MD

Psychiatry & Neurology - Psychiatry

NPI 1285891374

Doctor of Medicine (M.D.)

Dr. Amy Stratton , DNP, PMHNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1124494539

Doctor of Nursing Practice, Psychiatric-Mental Health Nurse Practitioner

Career & Practice History Timeline

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

12 Historical Events
πŸ“
Updated Practice Location April 25, 2024

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

πŸ“
Updated Business Mailing Address April 25, 2024

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

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

Behavior Analyst

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

Counselor

πŸ“
Updated Practice Location October 15, 2021

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

πŸ“
Updated Business Mailing Address October 15, 2021

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

βœ…
NPI Profile Active February 25, 2021

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) February 25, 2021

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

πŸ“
Business Mailing Address (Initial Record) February 25, 2021

Registered at 7108 S KANNER HWY, STUART, FL 349977462

πŸ‘€
Provider Name / Credentials (Initial Record) February 25, 2021

Recorded as AMANDA MOORE

πŸŽ“
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.

No reviews have been published yet. Leave a review.

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

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.