Kelsi Michelle Moody
Behavior Technician in Kennett, MO. Individual provider (NPI-1).
NPI number1790337442
StatusActive
Last updated in NPPESJul 12, 2019
Details
- NPI
- 1790337442
- Entity type
- Individual (NPI-1)
- Name
- Kelsi Michelle Moody
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 12, 2019
- Last updated
- Jul 12, 2019
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
1109 Jones StKennett, MO 63857-3824
Phone 573-888-5925
Mailing address
1109 Jones StKennett, MO 63857-3824
Phone 573-888-5925
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 244 Behavior Technician providers in Kennett · All 955 providers in Kennett
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