Individual
HEATHER MOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
608 W SUTRO WAY UNIT 2005, DRAPER, UT 84020-2017
(801) 406-6529
Mailing address
277 E AMADOR AVE STE 101, LAS CRUCES, NM 88001-3675
(505) 392-3482
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/13/2025
Last updated
10/13/2025
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