Corbin Moen

NPI #1013472513 in Las Cruces, New Mexico

Provider Information

NPI Number: 1013472513
Entity Type: Individual
Name: Corbin Moen
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Feb 8, 2019
Last Updated: Jul 15, 2019

Practice Location

Address: 120 WYATT DR
City: Las Cruces
State: New Mexico
ZIP Code: 88005-2925
Phone: (575) 652-3155

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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