Individual
SARA MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6787 W TROPICANA AVE STE 241, LAS VEGAS, NV 89103-4759
(833) 624-5400
Mailing address
386 OTSEGO CT, HENDERSON, NV 89012-4862
(702) 808-0112
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
CA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
NV
Other
Enumeration date
04/12/2016
Last updated
08/26/2022
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