Individual
ANDREA MORENO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
51111 WOODWARD AVE STE 150, PONTIAC, MI 48342-5037
(248) 977-5310
Mailing address
6072 GRANDVILLE AVE STE 101, DETROIT, MI 48228-3943
(248) 977-5310
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/24/2024
Last updated
01/24/2024
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