Individual
KATIE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
351 TENNY ST, BLOOMSBURG, PA 17815-3264
(888) 726-4774
(570) 362-5112
Mailing address
380 SHIN ST, MILTON, PA 17847-7793
(570) 850-6723
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/10/2022
Last updated
06/10/2022
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