Stacy Allyn Moore

NPI #1194426536 in Hoisington, Kansas

Provider Information

NPI Number: 1194426536
Entity Type: Individual
Name: Stacy Allyn Moore
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Mar 13, 2023
Last Updated: Mar 13, 2023

Practice Location

Address: 713 N OAK ST
City: Hoisington
State: Kansas
ZIP Code: 67544-1827
Phone: (785) 639-4726

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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