Isaiah Di'jon Moore

Behavior Technician · Crystal Lake, IL

Individual Active NPI

NPI number 1013551704

Practice location

780 McArdle Dr Ste a
Crystal Lake, IL 60014-8155
Phone
(779) 220-6262

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NPI record

NPI
1013551704
Entity type
Individual (Type 1)
Enumeration date
November 5, 2019
Last updated
November 5, 2019
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Behavior Technician Primary 106S00000X — IL

Mailing address

21600 Oxnard St Ste 1800
Woodland Hills, CA 91367-7807
Phone
(818) 345-2345

About Isaiah Moore

Isaiah Di'jon Moore is a healthcare provider registered in the NPI registry with the primary taxonomy Behavior Technician (code 106S00000X). The practice location is 780 McArdle Dr Ste a, Crystal Lake, IL 60014-8155. The NPI number 1013551704 was assigned on November 5, 2019 and the record was last updated on November 5, 2019.

Frequently asked questions

What is the NPI number of Isaiah Di'jon Moore?

The NPI number is 1013551704.

What is the phone number of Isaiah Moore?

The phone number listed for the practice location is (779) 220-6262.

Where is Isaiah Moore located?

780 McArdle Dr Ste a, Crystal Lake, IL 60014-8155.

What is the taxonomy code for Isaiah Moore?

The primary taxonomy code is 106S00000X – Behavior Technician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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