Karissa Myla Moore

NPI #1972373702 in Farr West, Utah

Provider Information

NPI Number: 1972373702
Entity Type: Individual
Name: Karissa Myla Moore
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jan 3, 2024
Last Updated: Jan 3, 2024

Practice Location

Address: 2811 N 2350 W
City: Farr West
State: Utah
ZIP Code: 84404-5177
Phone: (801) 872-8757

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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