Tyanna Moore

NPI #1093199531 in Mansfield, Texas

Provider Information

NPI Number: 1093199531
Entity Type: Individual
Name: Tyanna Moore
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Analyst
Enumeration Date: Jul 15, 2015
Last Updated: Dec 1, 2025

Practice Location

Address: 530 BERRYHILL DR
City: Mansfield
State: Texas
ZIP Code: 76063-3627
Phone: (248) 497-1159

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary
Technician, Other	247200000X

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