IndividualActive
Kallie Moore
NPI 1053091454 · Behavior Technician · Georgetown, KY
Kallie Moore is a Behavior Technician provider in Georgetown, KY (NPI 1053091454).
Provider details
- NPI number
- 1053091454
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(52/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
104 Market Path
Georgetown, KY 40324-1579
Phone: (502) 632-6241
Street-level locationGet directions
Mailing address
1418 Garvin Rdg
Olive Hill, KY 41164-8937
Registry dates
- Enumerated
- 2023-07-20
- Last updated
- 2023-07-20
- Certified
- 2023-07-20
Frequently asked questions
- What is Kallie Moore's NPI number?
- Kallie Moore's National Provider Identifier (NPI) is 1053091454, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kallie Moore's specialty?
- Kallie Moore is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Kallie Moore located?
- Kallie Moore's practice location on file with NPPES is 104 Market Path, Georgetown, KY 40324-1579.
- What is Kallie Moore's phone number?
- The practice phone number listed in the NPPES registry for Kallie Moore is (502) 632-6241.
- Is Kallie Moore's NPI active?
- Yes — Kallie Moore's NPI (1053091454) is active in the NPPES registry as of the last update on 2023-07-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.