Coralisha K Moore

NPI #1053183590 in Rancho Cordova, California

Provider Information

NPI Number: 1053183590
Entity Type: Individual
Name: Coralisha K Moore
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Oct 27, 2023
Last Updated: Oct 27, 2023

Practice Location

Address: 10546 SILVERWOOD WAY
City: Rancho Cordova
State: California
ZIP Code: 95670-5532
Phone: (916) 534-4309

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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