Stephanie Moore
NPI #1174143432 in Farmington, New Mexico
Provider Information
- NPI Number
- 1174143432
- Entity Type
- Individual
- Name
- Stephanie Moore
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Behavior Technician
- Enumeration Date
- Apr 16, 2020
- Last Updated
- Apr 16, 2020
Practice Location
- Address
- 3205 N DUSTIN AVE
- City
- Farmington
- State
- New Mexico
- ZIP Code
- 87401-9229
- Phone
- (505) 402-1224
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
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