Individual
TIFFANY LEA ANN MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3259 E SUNSHINE ST STE D, SPRINGFIELD, MO 65804-2143
(417) 323-2435
(417) 290-2234
Mailing address
3696 W BLAKEY ST, SPRINGFIELD, MO 65810-1105
(417) 684-2332
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
2023020353
MO
Other
Enumeration date
02/10/2023
Last updated
07/28/2026
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