Imani Moore

NPI #1770220295 in Deerfield, Illinois

Provider Information

NPI Number: 1770220295
Entity Type: Individual
Name: Imani Moore
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: May 16, 2022
Last Updated: May 16, 2022

Practice Location

Address: 707 LAKE COOK RD
City: Deerfield
State: Illinois
ZIP Code: 60015-5613
Phone: (888) 649-7289

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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