Individual
LASHAWN MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
828 EVARTS ST NE, WASHINGTON, DC 20018-1722
(202) 848-5716
Mailing address
828 EVARTS ST NE, WASHINGTON, DC 20018-1722
(202) 848-5716
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
247200000X
Other Technician
—
—
Other
Enumeration date
06/29/2023
Last updated
06/29/2023
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