Breeanna Moore

Behavior Technician · East Lansing, MI

Individual Active NPI

NPI number 1386345486

Practice location

1302 Portage Path
East Lansing, MI 48823-2034
Phone
(616) 634-2923

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NPI record

NPI
1386345486
Entity type
Individual (Type 1)
Enumeration date
March 15, 2023
Last updated
March 15, 2023
Certified
March 15, 2023
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Behavior Technician Primary 106S00000X — —

Mailing address

711 W Henry St
Charlotte, MI 48813-1709

About Breeanna Moore

Breeanna Moore is a healthcare provider registered in the NPI registry with the primary taxonomy Behavior Technician (code 106S00000X). The practice location is 1302 Portage Path, East Lansing, MI 48823-2034. The NPI number 1386345486 was assigned on March 15, 2023 and the record was last updated on March 15, 2023.

Frequently asked questions

What is the NPI number of Breeanna Moore?

The NPI number is 1386345486.

What is the phone number of Breeanna Moore?

The phone number listed for the practice location is (616) 634-2923.

Where is Breeanna Moore located?

1302 Portage Path, East Lansing, MI 48823-2034.

What is the taxonomy code for Breeanna 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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