NPI 1013898030

Ellyssya B Moore, BCBA

Practitioner Behavior Analyst Jackson, MS

Practice location

Address: 5837 N Dale St, Jackson, MS 39211-3333
Phone: (601) 376-6670

Registered specialties

Behavior Analyst Primary

Behavioral Health & Social Service Providers Taxonomy 103K00000X

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Registry record

NPI: 1013898030
Entity type: Individual
Sex (as registered): Female
NPI issued: 8 Sep 2025
Record last updated: 8 Sep 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.