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

Individual provider Behavior Analyst · NPI 1790106342

Mrs. Kelly Ann Moore, BCBA is a Behavior Analyst in Oak Forest, Illinois. Practices as a sole proprietor. Registered with an NPI since 2013.

In the registry since
2013
What do these letters mean?
BCBA — Board Certified Behavior Analyst
Designs and supervises applied behaviour analysis programmes, often for autism.

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Practice location Address checks out

5323 Fawn Ct
Oak Forest, IL 60452-2200
Phone: (312) 771-2346
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X · Licence 1-13-12877

Record details

NPI number1790106342
Entity typeIndividual (Type 1)
GenderFemale
Credentials BCBA
Sole proprietorYes
NPI enumeratedDecember 29, 2013
Last updated in NPPESJuly 9, 2025
Certification dateJuly 9, 2025

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