Latasha Moore

NPI #1972481117 in Chicago, Illinois

Provider Information

NPI Number: 1972481117
Entity Type: Individual
Name: Latasha Moore
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Aug 25, 2025
Last Updated: Aug 25, 2025

Practice Location

Address: 122 S MICHIGAN AVE
City: Chicago
State: Illinois
ZIP Code: 60603-6191
Phone: (508) 363-0200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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