Moore, Michaela Rae

Moore, Michaela Rae is an individual health care provider with primary practice located at 634 N 12Th St , Murray KY 42071-1651. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Behavioral Health & Social Service Providers / Assistant Behavior Analyst. Behavioral Health & Social Service Providers / Assistant Behavior Analyst is her primary health care specialty. Moore, Michaela Rae can be contacted via phone (270) 767-6415.

Contact Information

Primary practice address
634 N 12Th St Murray KY 42071-1651
Phone: (270) 767-6415
Fax: (615) 815-1946
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
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 / Assistant Behavior Analyst 106E00000X 0-23-14253 Tennessee

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 Apr 28th, 2023 - 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