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Malikah Moore

Behavior Technician in Marion, IN. Individual provider (NPI-1).

NPI number1023654126
StatusActive
Last updated in NPPESNov 23, 2019

Details

NPI
1023654126
Entity type
Individual (NPI-1)
Name
Malikah Moore
Sex
Female
Sole proprietor
Yes
Enumeration date
Nov 23, 2019
Last updated
Nov 23, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior TechnicianRBT-18-60394INYes

Practice location

2513 W 2nd St
Marion, IN 46952-3241

Phone 765-662-0490

Mailing address

3500 Depauw Blvd Ste 3070
Indianapolis, IN 46268-6135

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