Individual
MRS. HALEY RAYNE MOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2000 COVINGTON CTR, COVINGTON, LA 70433-2979
(985) 237-1921
Mailing address
209 INDEPENDENCE DR, MANDEVILLE, LA 70471-8525
(504) 610-1623
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
L886
LA
106S00000X
Behavior Technician
BACB804628
LA
Other
Enumeration date
11/10/2022
Last updated
10/01/2024
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