Nangmoon Amanda Moua
Behavior Technician in Fort Worth, TX. Individual provider (NPI-1).
NPI number1083174718
StatusActive
Last updated in NPPESMar 20, 2019
Details
- NPI
- 1083174718
- Entity type
- Individual (NPI-1)
- Name
- Nangmoon Amanda Moua
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 20, 2019
- Last updated
- Mar 20, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
5601 Bridge St Ste 300Fort Worth, TX 76112-2355
Phone 303-989-8169 · Fax 303-984-4366
Mailing address
390 Union Blvd Ste 300Lakewood, CO 80228-6514
Phone 303-989-8169 · Fax 303-984-4366
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