Individual
KIMBERLY MOFFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4722 RIVERSTONE BLVD STE 100, MISSOURI CITY, TX 77459-4723
(346) 368-4412
Mailing address
4722 RIVERSTONE BLVD STE 100, MISSOURI CITY, TX 77459-4723
(346) 368-4412
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
4754
TX
103K00000X
Behavior Analyst
—
—
Other
Enumeration date
04/23/2019
Last updated
01/06/2022
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