NPI 1003595968

Charlotte Moore

Practitioner Behavior Technician Bloomington, MN

Practice location

Address: 1801 American Blvd E, Bloomington, MN 55425-1232
Phone: (651) 789-6375

Registered specialties

Behavior Technician Primary

Behavioral Health & Social Service Providers Taxonomy 106S00000X

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Registry record

NPI: 1003595968
Entity type: Individual
Sex (as registered): Female
NPI issued: 17 Jul 2023
Record last updated: 24 Jul 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.