Individual
ELLA ANN MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
220 W 1ST ST STE 100, ANKENY, IA 50023-1782
(515) 261-2402
(515) 414-7642
Mailing address
220 W 1ST ST STE 100, ANKENY, IA 50023-1782
(515) 261-2402
(515) 414-7642
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/28/2025
Last updated
10/28/2025
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