Individual
MARIA JEANNE MOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
5300 STINSON AVE, SUPERIOR, WI 54880-6313
(218) 216-7798
Mailing address
5300 STINSON AVE, SUPERIOR, WI 54880-6313
(218) 216-7798
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1279140
WI
Other
Enumeration date
09/11/2024
Last updated
09/11/2024
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