Individual
MS. LESLIE JUNE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
1030 WOLFRUM RD, WELDON SPRING, MO 63304-7795
(636) 685-0720
Mailing address
1030 WOLFRUM RD, WELDON SPRING, MO 63304-7795
(636) 685-0720
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
10/28/2019
Last updated
11/22/2019
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