Thea Moore
Behavior Technician in Omaha, NE. Individual provider (NPI-1).
NPI number1467166330
StatusActive
Last updated in NPPESJan 5, 2023
Details
- NPI
- 1467166330
- Entity type
- Individual (NPI-1)
- Name
- Thea Moore
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 5, 2023
- Certification date
- Jan 5, 2023
- Last updated
- Jan 5, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
1299 Farnam St Ste 300Omaha, NE 68102-1857
Phone 402-969-6633
Mailing address
1299 Farnam St Ste 300Omaha, NE 68102-1857
Phone 402-969-6633
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