Candyse Moody
Behavior Technician in Aurora, CO. Individual provider (NPI-1).
NPI number1619706157
StatusActive
Last updated in NPPESAug 1, 2024
Details
- NPI
- 1619706157
- Entity type
- Individual (NPI-1)
- Name
- Candyse Moody
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 1, 2024
- Certification date
- Aug 1, 2024
- Last updated
- Aug 1, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
14707 E 2nd Ave Unit Gl100Aurora, CO 80011-8965
Phone 720-206-9644
Mailing address
14707 E 2nd Ave Unit Gl100Aurora, CO 80011-8965
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