Malikah Moore

NPI #1023654126 in Marion, Indiana

Provider Information

NPI Number: 1023654126
Entity Type: Individual
Name: Malikah Moore
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Nov 23, 2019
Last Updated: Nov 23, 2019

Practice Location

Address: 2513 W 2ND ST
City: Marion
State: Indiana
ZIP Code: 46952-3241
Phone: (765) 662-0490

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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