Johnny R Moore

NPI #1316617236 in Tulsa, Oklahoma

Provider Information

NPI Number: 1316617236
Entity Type: Individual
Name: Johnny R Moore
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Sep 14, 2021
Last Updated: Sep 14, 2021

Practice Location

Address: 1055 S HOUSTON AVE
City: Tulsa
State: Oklahoma
ZIP Code: 74127-9043
Phone: (918) 921-3200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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