Roxanne Lisa Moore

NPI #1326702382 in Media, Pennsylvania

Provider Information

NPI Number: 1326702382
Entity Type: Individual
Name: Roxanne Lisa Moore
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Oct 26, 2021
Last Updated: Oct 26, 2021

Practice Location

Address: 1167 W BALTIMORE PIKE # 258
City: Media
State: Pennsylvania
ZIP Code: 19063-5127
Phone: (484) 577-9928

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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