Skylar Moore
Behavior Technician in Long Beach, CA. Individual provider (NPI-1).
NPI number1760107585
StatusActive
Last updated in NPPESOct 4, 2022
Details
- NPI
- 1760107585
- Entity type
- Individual (NPI-1)
- Name
- Skylar Moore
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 4, 2022
- Certification date
- Oct 4, 2022
- Last updated
- Oct 4, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
5001 Airport Plaza Dr Ste 200Long Beach, CA 90815-1281
Phone 866-727-8274
Mailing address
2550 N Hollywood Way Ste 102Burbank, CA 91505-5031
Phone 866-727-8274
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