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Teresa Moore, MEd

Behavior Technician in Yuma, AZ. Individual provider (NPI-1).

NPI number1093222002
StatusActive
Last updated in NPPESDec 29, 2017

Details

NPI
1093222002
Entity type
Individual (NPI-1)
Name
Teresa Moore
Credential
MEd
Sex
Female
Sole proprietor
Yes
Enumeration date
Dec 29, 2017
Last updated
Dec 29, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

3795 W 22nd Ln Ste 14
Yuma, AZ 85364-9266

Phone 928-783-1505

Mailing address

3795 W 22nd Ln Ste 14
Yuma, AZ 85364-9266

Phone 928-783-1505

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