Julie Lynn Moss

NPI #1760018873 in Sugar City, Idaho

Provider Information

NPI Number: 1760018873
Entity Type: Individual
Name: Julie Lynn Moss
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Mar 20, 2020
Last Updated: Mar 20, 2020

Practice Location

Address: 1181 N 3000 E
City: Sugar City
State: Idaho
ZIP Code: 83448-1243
Phone: (208) 270-3514

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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