Individual
KIMBERLY JOY MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, BCBA, LBA
Contact information
Practice address
4208 BROOK FARM PL, LOUISVILLE, KY 40299-1479
(502) 407-1410
Mailing address
4208 BROOK FARM PL, LOUISVILLE, KY 40299-1479
(502) 407-1410
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
252256
KY
Other
Enumeration date
08/14/2022
Last updated
08/14/2022
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