Keidy Mora

NPI #1306413943 in Cicero, Illinois

Provider Information

NPI Number: 1306413943
Entity Type: Individual
Name: Keidy Mora
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jun 10, 2021
Last Updated: Jun 10, 2021

Practice Location

Address: 2410 S 57TH AVE
City: Cicero
State: Illinois
ZIP Code: 60804-3225
Phone: (708) 735-3442

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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