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

Khaleel Amir Moore

Individual provider Behavior Technician · NPI 1063342459

Khaleel Amir Moore is a Behavior Technician in Orange Park, Florida. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

1567 Kingsley Ave
Orange Park, FL 32073-4510
Phone: (904) 602-9740
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1063342459
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 19, 2026
Last updated in NPPESMay 19, 2026
Certification dateMay 19, 2026
Mailing address1567 Kingsley Ave, Orange Park, FL 32073-4510

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