Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kaitlynn O Moore

Individual provider Behavior Technician · NPI 1417679002

Kaitlynn O Moore is a Behavior Technician in Virginia, Minnesota. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

910 8th St S Ste B
Virginia, MN 55792-3236
Phone: (218) 748-8500
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1417679002
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 12, 2022
Last updated in NPPESSeptember 12, 2022
Certification dateSeptember 12, 2022
Mailing addressPo Box 236, Cotton, MN 55724-0236

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