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Iesha Moore

Behavior Technician in Altamonte Springs, FL. Individual provider (NPI-1).

NPI number1194397828
StatusActive
Last updated in NPPESJul 13, 2021

Details

NPI
1194397828
Entity type
Individual (NPI-1)
Name
Iesha Moore
Sex
Female
Sole proprietor
No
Enumeration date
Jul 13, 2021
Certification date
Jul 13, 2021
Last updated
Jul 13, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

745 Orienta Ave Ste 1011
Altamonte Springs, FL 32701-5675

Phone 877-823-4283 · Fax 352-332-8589

Mailing address

2035 Sw 75th St Ste B
Gainesville, FL 32607-3425

Phone 877-823-4283 · Fax 352-332-8589

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