Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Timothy Richard Moore, PHD, LP, BCBA-D

Individual provider Psychologist · NPI 1194094045

Dr. Timothy Richard Moore, PHD, LP, BCBA-D is a Psychologist in Minneapolis, Minnesota. Licensed in Minnesota. Registered with an NPI since 2011.

Licensed in
MN
In the registry since
2011
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

3333 University Ave SE
Minneapolis, MN 55414-3325
Phone: (612) 331-9413
Fax: (612) 728-5301
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 5453 (MN)

Record details

NPI number1194094045
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD , LP , BCBA-D
Sole proprietorNo
NPI enumeratedDecember 22, 2011
Last updated in NPPESJuly 10, 2025
Certification dateJuly 10, 2025

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