Individual
MYAJA MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
47329 MADELINE CT, HAMMOND, LA 70401-6804
(985) 662-8994
Mailing address
2033 N HIGHWAY 190, COVINGTON, LA 70433-8985
(985) 590-4549
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
LA
Other
Enumeration date
06/18/2024
Last updated
06/18/2024
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