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Victoria Moore

Behavior Technician in Bentonville, AR. Individual provider (NPI-1).

NPI number1366074973
StatusActive
Last updated in NPPESFeb 11, 2020

Details

NPI
1366074973
Entity type
Individual (NPI-1)
Name
Victoria Moore
Sex
Female
Sole proprietor
No
Enumeration date
Feb 11, 2020
Certification date
Feb 11, 2020
Last updated
Feb 11, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician19-105349ARYes

Practice location

2601 N Walton Blvd Ste 1
Bentonville, AR 72712-4302

Phone 479-802-4798 · Fax 479-688-0589

Mailing address

2601 N Walton Blvd Ste 1
Bentonville, AR 72712-4302

Phone 479-802-4798 · Fax 479-688-0589

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