Individual
DAVID MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
620 E TWAIN AVE, LAS VEGAS, NV 89169-4115
(702) 437-9654
Mailing address
3395 S JONES BLVD STE 345, LAS VEGAS, NV 89146-6729
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/21/2017
Last updated
06/21/2017
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