Individual
MELISSA MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14405 SALEM RD, EXCELSIOR SPRINGS, MO 64024-8400
(816) 585-1272
(913) 285-8134
Mailing address
14405 SALEM RD, EXCELSIOR SPRINGS, MO 64024-8400
(816) 585-1272
(913) 285-8134
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-25-411500
—
Other
Enumeration date
02/25/2025
Last updated
02/28/2025
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