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

Mary Moore

Individual provider Behavior Technician · NPI 1184239865

Mary Moore is a Behavior Technician in LA Grange Park, Illinois. Registered with an NPI since 2020.

In the registry since
2020

Practice location Address checks out

306 N Kensington Ave
LA Grange Park, IL 60526-1870
Phone: (312) 965-2997
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 number1184239865
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 10, 2020
Last updated in NPPESSeptember 10, 2020
Certification dateSeptember 10, 2020
Mailing address306 N Kensington Ave, La Grange Park, IL 60526-1870

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