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

Kallie Jo Moore

Individual provider Behavior Technician · NPI 1053091454

Kallie Jo Moore is a Behavior Technician in Georgetown, Kentucky. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

104 Market Path
Georgetown, KY 40324-1579
Phone: (502) 632-6241
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 number1053091454
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 20, 2023
Last updated in NPPESJuly 20, 2023
Certification dateJuly 20, 2023
Mailing address1418 Garvin Rdg, Olive Hill, KY 41164-8937

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