Individual
JESSICA R MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
310 REGENCY PKWY STE 115, OMAHA, NE 68114-3702
(515) 207-5251
Mailing address
310 REGENCY PKWY STE 115, OMAHA, NE 68114-3702
(515) 207-5251
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/18/2025
Last updated
02/18/2025
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