Individual
KYRA MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 MAINE ST, LAWRENCE, KS 66044-1368
(785) 843-9192
Mailing address
7108 S KANNER HWY, STUART, FL 34997-7462
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
04150
KS
106S00000X
Behavior Technician
RBT21177737
KS
Other
Enumeration date
08/10/2021
Last updated
10/28/2022
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