Re'Onna Moore
Behavior Technician in Traverse City, MI. Individual provider (NPI-1).
NPI number1346853025
StatusActive
Last updated in NPPESAug 24, 2020
Details
- NPI
- 1346853025
- Entity type
- Individual (NPI-1)
- Name
- Re'Onna Moore
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 24, 2020
- Certification date
- Aug 24, 2020
- Last updated
- Aug 24, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
515 W 14th St Unit DTraverse City, MI 49684-4059
Phone 231-392-2020
Mailing address
515 W 14th St Unit DTraverse City, MI 49684-4059
Phone 231-392-2020
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All 519 Behavior Technician providers in Traverse City · All 4,445 providers in Traverse City
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