Individual
KYLE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
238 S MERIDIAN RD, YOUNGSTOWN, OH 44509-2925
(330) 318-3436
Mailing address
238 S MERIDIAN RD, YOUNGSTOWN, OH 44509-2925
(330) 318-3436
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/03/2018
Last updated
08/03/2018
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