NPI 1053091454

Kallie Jo Moore

Practitioner Behavior Technician Georgetown, KY

Practice location

Address: 104 Market Path, Georgetown, KY 40324-1579
Phone: (502) 632-6241
Mailing address: 1418 Garvin Rdg, Olive Hill, KY 41164-8937

Registered specialties

Behavior Technician Primary

Behavioral Health & Social Service Providers Taxonomy 106S00000X

Other Behavior Technician providers in Kentucky →

Registry record

NPI: 1053091454
Entity type: Individual
Sex (as registered): Female
NPI issued: 20 Jul 2023
Record last updated: 20 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.