Trinity Amanda-Iris Moore
Behavior Technician in Alma, MI. Individual provider (NPI-1).
NPI number1497548366
StatusActive
Last updated in NPPESMay 23, 2025
Details
- NPI
- 1497548366
- Entity type
- Individual (NPI-1)
- Name
- Trinity Amanda-Iris Moore
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 23, 2025
- Certification date
- May 23, 2025
- Last updated
- May 23, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
504 Pine AveAlma, MI 48801-1723
Phone 989-285-9122
Mailing address
504 Pine AveAlma, MI 48801-1723
Phone 989-285-9122
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