Individual
AMY KAYLYN MOOREHEAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
26210 HARPER AVE STE 200, SAINT CLAIR SHORES, MI 48081-2203
(775) 387-3004
Mailing address
26210 HARPER AVE STE 200, SAINT CLAIR SHORES, MI 48081-2203
(888) 485-8636
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT3626
NV
Other
Enumeration date
08/09/2023
Last updated
01/10/2024
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