Kimberly Shaunta Moore

NPI #1699349134 in Americus, Georgia

Provider Information

NPI Number: 1699349134
Entity Type: Individual
Name: Kimberly Shaunta Moore
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: May 19, 2021
Last Updated: May 19, 2021

Practice Location

Address: 415 N JACKSON ST
City: Americus
State: Georgia
ZIP Code: 31709-3015
Phone: (866) 348-6296

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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