Individual
JACQUELINE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3925 W CHEYENNE AVE, NORTH LAS VEGAS, NV 89032-3494
(702) 868-2901
Mailing address
2116 FRED BROWN DR, LAS VEGAS, NV 89106-2458
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
06/26/2013
Last updated
06/26/2013
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