Individual
MR. VERNON L MOORE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
17008 PRESTWICK CIR, EDMOND, OK 73012-7404
(405) 923-9572
Mailing address
17008 PRESTWICK CIR, EDMOND, OK 73012-7404
(405) 923-9572
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
081043472
OK
Other
Enumeration date
09/27/2010
Last updated
09/27/2010
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