Robin Ann Moore, BSW

NPI #1326885625 in Jerome, Idaho

Provider Information

NPI Number: 1326885625
Entity Type: Individual
Name: Robin Ann Moore, BSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Credential: BSW
Enumeration Date: Jul 12, 2024
Last Updated: Jul 12, 2024

Practice Location

Address: 428 7TH AVE W
City: Jerome
State: Idaho
ZIP Code: 83338-1807
Phone: (208) 421-3132

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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