Individual
KAYLA ELIZABETH MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
510 PELLIS RD STE 203, GREENSBURG, PA 15601-4583
(724) 216-3358
Mailing address
809 RIDGE AVE, JEANNETTE, PA 15644-1643
(724) 961-9755
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BH005077
PA
Other
Enumeration date
12/12/2022
Last updated
12/12/2022
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