Amy M Moore

NPI #1245994938 in Oak Lawn, Illinois

Provider Information

NPI Number: 1245994938
Entity Type: Individual
Name: Amy M Moore
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Oct 28, 2021
Last Updated: Oct 28, 2021

Practice Location

Address: 9607 MERTON AVE
City: Oak Lawn
State: Illinois
ZIP Code: 60453-2726
Phone: (708) 935-0328

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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