Individual
ELISHA ISRAEL MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11306 BIRCH PLZ APT 7, OMAHA, NE 68164-2744
(402) 614-9194
Mailing address
15418 WEIR ST # 317, OMAHA, NE 68137-5045
(402) 614-6194
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
08/25/2023
Last updated
08/23/2025
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