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Individual

JOANNA LEE MORENO

Active
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Individual

JOANNA LEE MORENO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, BCBA, LBS, LBA

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
103K00000X
Behavior Analyst
Primary
15BC00401200
NJ
103K00000X
Behavior Analyst
BH004866
PA
106S00000X
Behavior Technician
RBT-19-89998
PA

Other

Enumeration date
04/14/2017
Last updated
08/11/2026
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