Individual
ROXANNE LISA MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1167 W BALTIMORE PIKE # 258, MEDIA, PA 19063-5127
(484) 577-9928
Mailing address
622 CHESTNUT ST, READING, PA 19602-2406
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/26/2021
Last updated
10/26/2021
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