Simonique Samantha Moss

NPI #1023628831 in Monument, Colorado

Provider Information

NPI Number: 1023628831
Entity Type: Individual
Name: Simonique Samantha Moss
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Aug 6, 2020
Last Updated: Aug 6, 2020

Practice Location

Address: 590 W HIGHWAY 105 STE 184
City: Monument
State: Colorado
ZIP Code: 80132-9125
Phone: (719) 344-8015

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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