Corey Moore, M.A., B,C.B.A.

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

5520 South 6TH Street Road
Suite 1700
Springfield, IL 62703

Phone

(217) 585-5437

NPI assigned

Nov 18, 2013

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1384732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384732800000",
    "number": "1578993101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5520 SOUTH 6TH STREET ROAD",
            "address_2": "SUITE 1700",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "62703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5520 SOUTH 6TH STREET ROAD",
            "address_2": "SUITE 1700",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "62703",
            "telephone_number": "217-585-5437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "COREY",
        "name_prefix": "Mrs.",
        "credential": "M.A., B,C.B.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-18",
        "last_updated": "2013-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jackson Patrick Mooney, DO
• Aaron Moore, MD
• Ashley Moore
• Chelsey Moore, OD
• Cindy Margaret Moore, MD
• Jamie Moore, MOT, OTR/L
• Morgan Anne Moore
• Naija Capri Moore
• Nicol Moore
• Randall D. Moore, CRNA

• Behavior Analyst in Springfield, IL
• Providers in Springfield, IL by specialty
• Behavior Analyst in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.