Individual
ALIEAH MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
11424 S WESTERN AVE, CHICAGO, IL 60643-4120
(773) 701-6456
Mailing address
11424 S WESTERN AVE, CHICAGO, IL 60643-4120
(773) 701-6456
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-26-86969
IL
Other
Enumeration date
01/09/2026
Last updated
01/09/2026
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