Individual
BROOKLYN MOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1998 BARRET CT SUITE A, HENDERSON, KY 42420-4242
(270) 577-0551
Mailing address
8507 TSCHARNER RD, HENDERSON, KY 42420-8927
(270) 577-0551
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/13/2025
Last updated
03/13/2025
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