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Brooke Nicole Moeller

Behavior Technician in Live Oak, TX. Individual provider (NPI-1).

NPI number1023747854
StatusActive
Last updated in NPPESJun 7, 2022

Details

NPI
1023747854
Entity type
Individual (NPI-1)
Name
Brooke Nicole Moeller
Sex
Female
Sole proprietor
No
Enumeration date
Jun 7, 2022
Certification date
Jun 7, 2022
Last updated
Jun 7, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

7608 Narrow Pass St
Live Oak, TX 78233-3019

Phone 210-714-3545

Mailing address

7608 Narrow Pass St
Live Oak, TX 78233-3019

Phone 210-714-3545

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