MRS. KELLI LYN MOORE (NPI# 1801207089) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1801207089 |
Entity Type | Individual |
Full Name | MRS. KELLI LYN MOORE |
Practice Address |
1032 S Douglas Blvd Midwest City OK 73130-5209 |
Practice Telephone | 4054557740 |
Practice Fax Number | 4054557745 |
Mailing Telephone | 4054557740 |
Mailing Fax Number | 4054557745 |
Enumeration Date | 2014-05-09 |
Last Update Date | 2014-05-09 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699243204 | Kelli Moore | Physician Assistant | 32270 Telegraph Rd Ste 110, Bingham Farms, MI 48025-2456 | 2018-11-13 |
1134554041 | Kelli Moore | Occupational Therapist | 4767 Painters Street, New Orleans, LA 70122 | 2013-09-10 |
1770195380 | Kelli Moore | Social Worker | 1235 8th St, Las Vegas, NM 87701-4219 | 2020-08-17 |
1336502491 | Kelli Moore | Registered Nurse | 6300 N Main St, Dayton, OH 45415-3154 | 2016-04-05 |
1427391846 | Kelli Jo Moore | Radiology | One Hospital Dr, Columbia, MO 65212 | 2013-04-03 |
1841473055 | Kelli A Moore | Nurse Practitioner | 3301 Trindle Rd, Camp Hill, PA 17011-4413 | 2007-12-11 |
1225051469 | Kelli Michelle Moore | Recreation Therapist | 1 Freedom Way, Recreation Therapy (294), Augusta, GA 30904-6258 | 2006-07-26 |
Street Address |
1032 S DOUGLAS BLVD |
City | MIDWEST CITY |
State | OK |
Zip Code | 73130-5209 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285671008 | Royce A Hinkle Jr. | Family Medicine | 1032 S Douglas Blvd, Midwest City, OK 73130-5209 | 2006-06-01 |
1073937991 | Responsive Individual & Family Services | Case Management | 1032 S Douglas Blvd, Midwest City, OK 73130-5209 | 2014-02-12 |
1063836302 | Melissa Ann Baptiste | Behavioral Analyst | 1032 S Douglas Blvd, Midwest City, OK 73130-5209 | 2014-02-06 |
1568893675 | William Broiles | Behavioral Analyst | 1032 S Douglas Blvd, Midwest City, OK 73130-5209 | 2013-11-29 |
1073940862 | Mtb Management, LLC | Case Management | 1032 S Douglas Blvd, Midwest City, OK 73130-5209 | 2013-10-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366059909 | Richard Williams | Behavior Technician | 1121 S. Douglas Boulevard, Suite A, Midwest City, OK 73130 | 2020-09-28 |
1730794264 | Cassidy Myers | Behavioral Analyst | 1121 South Douglas Boulevard, Suite A, Midwest City, OK 73130 | 2020-09-11 |
1831609320 | Progressive Home Health Inc | Home Health | 9070 Harmony Dr Ste C, Midwest City, OK 73130 | 2017-10-10 |
1306290903 | Maria Soledad Dabney | Counselor | 9101 Stonegate, Oklahoma City, OK 73130 | 2016-04-20 |
1922452804 | Endodontics and Implant Associates,pllc | Dentist | 1621 Midtown Place, Suite B, Midwest City, OK 73130 | 2016-04-18 |
1639574130 | Healthcare Express, LLP | Clinic/Center | 1701 S. Douglas Blvd., Midwest City, OK 73130 | 2014-10-27 |
1891045274 | Michelle Lynn Goolsby | Behavioral Analyst | 10822 Blue Sky Drive, Midwest City, OK 73130 | 2012-09-13 |
1497026173 | Deberry Interprise | Community/Behavioral Health | 9233 North East10th Street, Midwest City, OK 73130 | 2012-01-26 |
1245531789 | Nichelle Stewart | Counselor | 10520 Quail Run Road, Midwest City, OK 73130 | 2010-11-16 |
1477877835 | Jan Bierne, Inc. | Counselor | 2912 S. Douglas Blvd, Suite A, Midwest City, OK 73130 | 2010-03-15 |
Find all providers in zip 73130 |
Taxonomy Code | 103K00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Behavioral Analyst |
A behavior analyst is qualified by at least a master’s degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans. |
Notes: Source: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2008: new, 1/1/2016: modified definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730794264 | Cassidy Myers | Behavioral Analyst | 1121 South Douglas Boulevard, Suite A, Midwest City, OK 73130 | 2020-09-11 |
1114494903 | Tiandrea Jeanae Neal | Behavioral Analyst | 1212 S. Air Depot, Ste 17, Midwest City, OK 73110 | 2018-10-30 |
1487049045 | Dustin Lindsay | Behavioral Analyst | 801 General Senter Dr, Midwest City, OK 73110-7918 | 2015-03-31 |
1841689981 | Gwendolyn Lee Gonzales | Behavioral Analyst | 11536 Sheffield St, Midwest City, OK 73130-8208 | 2015-01-13 |
1205248895 | Akenya D Jones | Behavioral Analyst | 777 N Air Depot Blvd Apt 3202, Midwest City, OK 73110-3765 | 2014-05-29 |
1568882215 | Naomi Graham | Behavioral Analyst | 1032 N Douglas Blvd, Midwest City, OK 73130-2308 | 2014-04-21 |
1306268818 | Marvetta Vaughns | Behavioral Analyst | 232 E Key Blvd, Midwest City, OK 73110-5031 | 2014-01-17 |
1023441706 | Daniell Monique Brown | Behavioral Analyst | 600 E Towry Dr, Midwest City, OK 73110-7827 | 2013-08-16 |
1497195366 | Tunyese Jones | Behavioral Analyst | 2607 Coachlight Dr Apt F, Midwest City, OK 73110-7843 | 2013-06-25 |
1013354828 | Veleecia Nicole Hearne | Behavioral Analyst | 777 N Air Depot Blvd, Apt 6101, Midwest City, OK 73110-3700 | 2013-06-03 |
Find all providers in MIDWEST CITY |
City | MIDWEST CITY |
Zip Code | 73130 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.