Individual
JOHN MOODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7700 MINNESOTA AVE, SAINT LOUIS, MO 63111-3336
(314) 449-1497
Mailing address
1430 OLIVE ST STE 400, SAINT LOUIS, MO 63103-2303
(314) 206-3700
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/21/2020
Last updated
01/21/2020
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