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Individual

ALEXIS MOORE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
6201 COLLEYVILLE BLVD STE 100, COLLEYVILLE, TX 76034-6236
(817) 952-8917
Mailing address
650 DEL PASO ST., APT. 264, EULESS, TX 76040

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-21-166107
TX

Other

Enumeration date
05/21/2021
Last updated
05/21/2021
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