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

Michaela Rae Moore

Individual provider Assistant Behavior Analyst · NPI 1942701503

Michaela Rae Moore is an Assistant Behavior Analyst in Kennett, Missouri. Works from 2 locations. Licensed in Louisiana, Missouri and Tennessee.

Licensed in
LA, MO, TN
In the registry since
2018
Specialties on file
4

Practice location Address checks out

410 Teaco Rd
Kennett, MO 63857-3239
Phone: (870) 565-9776
Show map & directions

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

Additional practice locations (1)

  • 634 N 12th St, Murray, KY 42071-1651 — (270) 767-6415

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X · Licence 2024045907 (MO)
Assistant Behavior Analyst Taxonomy 106E00000X · Licence 0-23-14253 (TN)
Behavior Technician Taxonomy 106S00000X
Behavior Technician Taxonomy 106S00000X · Licence RBT-17-29629 (LA)

Record details

NPI number1942701503
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 27, 2018
Last updated in NPPESDecember 10, 2024
Certification dateDecember 10, 2024
Mailing address410 Teaco Rd, Kennett, MO 63857-3239