Individual
AYANNA MOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6443 EMERSON AVE N, BROOKLYN CENTER, MN 55430-1827
(612) 477-9170
Mailing address
6443 EMERSON AVE N, BROOKLYN CENTER, MN 55430-1827
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/29/2026
Last updated
06/29/2026
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