Moore, Michaela Rae

Moore, Michaela Rae is an individual health care provider with primary practice located at 410 Teaco Rd , Kennett MO 63857-3239. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Assistant Behavior Analyst, Behavioral Health & Social Service Providers / Behavior Technician, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Moore, Michaela Rae can be contacted via phone (870) 565-9776.

Contact Information

Primary practice address
410 Teaco Rd Kennett MO 63857-3239
Phone: (870) 565-9776
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Assistant Behavior Analyst 106E00000X 0-23-14253 Tennessee
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X RBT-17-29629 Louisiana
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 2024045907 Missouri

Profile Details

NPI number 1942701503
LBN Legal business name Moore, Michaela Rae
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 27th, 2018
Last updated Dec 10th, 2024 - about 2 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.

Request for update

Popular Providers