Individual
ALEXIS MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
620 NW 5TH ST, MOORE, OK 73160-3948
(405) 208-4469
Mailing address
21600 OXNARD ST STE 1800, WOODLAND HILLS, CA 91367-7807
(818) 345-2345
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
OK
101YM0800X
Mental Health Counselor
Primary
—
OK
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/19/2018
Last updated
06/25/2026
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