Shawna Donise Moore, PSYD, LPC, BCBA
NPI #1033409099 in Stillwater, Oklahoma
Provider Information
- NPI Number
- 1033409099
- Entity Type
- Individual
- Name
- Shawna Donise Moore, PSYD, LPC, BCBA
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor
- Credential
- PSYD, LPC, BCBA
- Enumeration Date
- Apr 12, 2011
- Last Updated
- Feb 26, 2020
Practice Location
- Address
- 614 S MAIN ST
- City
- Stillwater
- State
- Oklahoma
- ZIP Code
- 74074-4059
- Phone
- (405) 824-3408
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Analyst |
| Counselor |
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