Individual
MAKENZEE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16941 N EAGLE RIVER LOOP RD STE 3, EAGLE RIVER, AK 99577-7824
(907) 726-5330
Mailing address
11005 HANNAH JANE PL, EAGLE RIVER, AK 99577-8088
(907) 201-3093
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
07/16/2021
Last updated
07/16/2021
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