Kimberly Joy Moore, MS, BCBA, LBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

252256 Issued in KY

Practice address

4208 Brook Farm PL
Louisville, KY 40299-1479

Phone

(502) 407-1410

NPI assigned

Aug 14, 2022

Last updated

Aug 14, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Kimberly Joy Dwyer-Moore Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1660435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660435200000",
    "number": "1750019907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4208 BROOK FARM PL",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402991479",
            "telephone_number": "502-407-1410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4208 BROOK FARM PL",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402991479",
            "telephone_number": "502-407-1410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "KIMBERLY",
        "middle_name": "JOY",
        "credential": "MS, BCBA, LBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-14",
        "last_updated": "2022-08-14",
        "certification_date": "2022-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "KY",
            "license": "252256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "DWYER-MOORE",
            "middle_name": "JOY",
            "credential": "MS, BCBA, LBA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Kaliah Moore, RBT
• Kari Moore, APRN
• Katherine Moore, COTA/L
• Katie Marie Moore
• Keadric Moore
• Laquisha Denise Moore, M.ED, LPCC
• Laura S Moore, M.D.
• Lauren Taylor Moore, TCADC
• Lindsay Moore, D.M.D
• Loran Pete Moore, MD

• Behavior Analyst in Louisville, KY
• Providers in Louisville, KY by specialty
• Behavior Analyst in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2022; 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.