Individual
BRIEANNA NICOLE MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
421 WINDCHIME PL, COLORADO SPRINGS, CO 80919-1984
(888) 754-0398
Mailing address
12550 MEDINAH RD, PEYTON, CO 80831-4127
(928) 733-9509
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/08/2024
Last updated
07/08/2024
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