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