Moore, Kelly Ann

Moore, Kelly Ann is an sole proprietor health care provider with primary practice located at 17845 Ridgeland Ave , Tinley Park IL 60477-4383. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Moore, Kelly Ann can be contacted via phone (312) 771-2346.

Contact Information

Primary practice address
17845 Ridgeland Ave Tinley Park IL 60477-4383
Phone: (312) 771-2346
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-13-12877

Profile Details

NPI number 1790106342
LBN Legal business name Moore, Kelly Ann
Credentials BCBA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 29th, 2013
Last updated Dec 29th, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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