NPI 1023654126

Malikah Moore

Practitioner Behavior Technician Marion, IN

Practice location

Address: 2513 W 2nd St, Marion, IN 46952-3241
Phone: (765) 662-0490
Mailing address: 3500 Depauw Blvd STE 3070, Indianapolis, IN 46268-6135

Registered specialties

Behavior Technician Primary

Behavioral Health & Social Service Providers Taxonomy 106S00000X Licence RBT-18-60394 (IN)

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Registry record

NPI: 1023654126
Entity type: Individual
Sex (as registered): Female
NPI issued: 23 Nov 2019
Record last updated: 23 Nov 2019

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.