NPI 1023628831

Simonique Samantha Moss

Practitioner Behavior Technician Monument, CO

Practice location

Address: 590 W Highway 105 STE 184, Monument, CO 80132-9125
Phone: (719) 344-8015
Mailing address: 8268 Firethorn Dr, Colorado Springs, CO 80925-9417

Registered specialties

Behavior Technician Primary

Behavioral Health & Social Service Providers Taxonomy 106S00000X Licence RBT-20-129810 (CO)

Other Behavior Technician providers in Colorado →

Registry record

NPI: 1023628831
Entity type: Individual
Sex (as registered): Female
NPI issued: 6 Aug 2020
Record last updated: 6 Aug 2020

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.