IndividualActive
Kaitlynn Moore
NPI 1417679002 · Behavior Technician · Virginia, MN
Kaitlynn Moore is a Behavior Technician provider in Virginia, MN (NPI 1417679002).
Provider details
- NPI number
- 1417679002
- 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(53/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
910 8th St S Ste B
Virginia, MN 55792-3236
Phone: (218) 748-8500
Street-level locationGet directions
Mailing address
Po Box 236
Cotton, MN 55724-0236
Registry dates
- Enumerated
- 2022-09-12
- Last updated
- 2022-09-12
- Certified
- 2022-09-12
Frequently asked questions
- What is Kaitlynn Moore's NPI number?
- Kaitlynn Moore's National Provider Identifier (NPI) is 1417679002, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kaitlynn Moore's specialty?
- Kaitlynn Moore is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Kaitlynn Moore located?
- Kaitlynn Moore's practice location on file with NPPES is 910 8th St S Ste B, Virginia, MN 55792-3236.
- What is Kaitlynn Moore's phone number?
- The practice phone number listed in the NPPES registry for Kaitlynn Moore is (218) 748-8500.
- Is Kaitlynn Moore's NPI active?
- Yes — Kaitlynn Moore's NPI (1417679002) is active in the NPPES registry as of the last update on 2022-09-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.