Diana Lynne Moore

NPI #1225740285 in Shawnee Mission, Kansas

Provider Information

NPI Number
1225740285
Entity Type
Individual
Name
Diana Lynne Moore
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Behavior Technician
Enumeration Date
Dec 21, 2022
Last Updated
Dec 21, 2022

Practice Location

Address
7415 GRANDVIEW ST
State
Kansas
ZIP Code
66204-1796
Phone
(913) 676-2253

Specialties & Taxonomy Codes

Specialty
Behavior Technician

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