Savannah Moon

NPI #1932717097 in Leavenworth, Kansas

Provider Information

NPI Number: 1932717097
Entity Type: Individual
Name: Savannah Moon
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jul 15, 2020
Last Updated: Jul 15, 2020

Practice Location

Address: 1719 METROPOLITAN AVE
City: Leavenworth
State: Kansas
ZIP Code: 66048-1124
Phone: (913) 250-5634

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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