Individual
DAVID ALEJANDRO MORENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
220 E MAIN ST STE 1, MANKATO, MN 56001-3574
(517) 604-8252
Mailing address
1127 SOUTHRIDGE RD, NEW ULM, MN 56073-3655
(517) 604-8252
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
09/22/2019
Last updated
09/22/2019
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