Individual
ANA S MORENO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, BCBA, LBA
Contact information
Practice address
12005 E RYSCOTT CIR, VAIL, AZ 85641-0258
(520) 257-8266
Mailing address
12005 E RYSCOTT CIR, VAIL, AZ 85641-0258
(520) 286-7606
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BEH-000953
AZ
Other
Enumeration date
09/13/2022
Last updated
06/28/2024
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