Kyesha Raquel Moore
Behavior Technician in High Point, NC. Individual provider (NPI-1).
NPI number1073346292
StatusActive
Last updated in NPPESAug 22, 2024
Details
- NPI
- 1073346292
- Entity type
- Individual (NPI-1)
- Name
- Kyesha Raquel Moore
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 22, 2024
- Certification date
- Aug 22, 2024
- Last updated
- Aug 22, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | RBT-24-338080 | NC | Yes |
Practice location
4510 Premier DrHigh Point, NC 27265-8349
Phone 336-568-6122 · Fax 317-520-8200
Mailing address
3500 Depauw Blvd Ste 3070Indianapolis, IN 46268-6135
Phone 855-324-0885 · Fax 317-520-8200
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All 39 Behavior Technician providers in High Point · All 2,994 providers in High Point
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