Mary Moore

Behavior Technician · La Grange Park, IL

Individual Active NPI

NPI number 1184239865

Practice location

306 N Kensington Ave
La Grange Park, IL 60526-1870
Phone
(312) 965-2997

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NPI record

NPI
1184239865
Entity type
Individual (Type 1)
Enumeration date
September 10, 2020
Last updated
September 10, 2020
Certified
September 10, 2020
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Behavior Technician Primary 106S00000X — —

About Mary Moore

Mary Moore is a healthcare provider registered in the NPI registry with the primary taxonomy Behavior Technician (code 106S00000X). The practice location is 306 N Kensington Ave, La Grange Park, IL 60526-1870. The NPI number 1184239865 was assigned on September 10, 2020 and the record was last updated on September 10, 2020.

Frequently asked questions

What is the NPI number of Mary Moore?

The NPI number is 1184239865.

What is the phone number of Mary Moore?

The phone number listed for the practice location is (312) 965-2997.

Where is Mary Moore located?

306 N Kensington Ave, La Grange Park, IL 60526-1870.

What is the taxonomy code for Mary 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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