Individual
VICKI MORENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
820 DUKE AVE STE A, WARNER ROBINS, GA 31093-2684
(478) 225-3380
(615) 815-1946
Mailing address
1321 MURFREESBORO PIKE STE 410, NASHVILLE, TN 37217-2626
(615) 361-4000
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
12041369
GA
Other
Enumeration date
02/22/2018
Last updated
01/12/2023
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