Michaela Rae Moore

NPI #1942701503 in Kennett, Missouri

Provider Information

NPI Number: 1942701503
Entity Type: Individual
Name: Michaela Rae Moore
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Analyst
Enumeration Date: Feb 27, 2018
Last Updated: Dec 10, 2024

Practice Location

Address: 410 TEACO RD
City: Kennett
State: Missouri
ZIP Code: 63857-3239
Phone: (870) 565-9776

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Assistant Behavior Analyst	106E00000X
Behavior Technician	106S00000X
Behavior Analyst	103K00000X	Primary

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