Individual
ALEX JORDAN MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
160 N L ST, TULARE, CA 93274-4114
(559) 837-1223
Mailing address
160 N L ST, TULARE, CA 93274-4114
(559) 837-1223
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/19/2023
Last updated
02/16/2023
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