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Individual

JESSICA MORENO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RBT

Contact information

Practice address
2244 NORTH RD STE 116, GARDENDALE, AL 35071-2258
(659) 207-6622
(317) 520-8200
Mailing address
200 VESTAVIA PKWY STE 2400, VESTAVIA, AL 35216-3797

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-330768
AL

Other

Enumeration date
05/15/2024
Last updated
12/28/2024
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