Addyson T Moore

NPI #1861105439 in Red Wing, Minnesota

Provider Information

NPI Number: 1861105439
Entity Type: Individual
Name: Addyson T Moore
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Dec 28, 2022
Last Updated: Dec 28, 2022

Practice Location

Address: 4911 LEARNING LN
City: Red Wing
State: Minnesota
ZIP Code: 55066-4533
Phone: (651) 360-3202

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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