MS. Shannon Michelle Moore I

NPI #1447975339 in Key West, Florida

Provider Information

NPI Number: 1447975339
Entity Type: Individual
Name: MS. Shannon Michelle Moore I
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Oct 4, 2022
Last Updated: Oct 4, 2022

Practice Location

Address: 302 SOUTHARD ST STE 106
City: Key West
State: Florida
ZIP Code: 33040-8404
Phone: (772) 633-3205

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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