NPI 1063225167

Brena'Sha Moore

Practitioner Behavior Technician Shelton, CT

Practice location

Address: 1000 Bridgeport Ave Unit 405, Shelton, CT 06484-4660
Phone: (203) 993-6592
Mailing address: 333 Vincellette St Unit 80, Bridgeport, CT 06606-2235

Registered specialties

Behavior Technician Primary

Behavioral Health & Social Service Providers Taxonomy 106S00000X

Other Behavior Technician providers in Connecticut →

Registry record

NPI: 1063225167
Entity type: Individual
Sex (as registered): Female
NPI issued: 31 Jan 2025
Record last updated: 31 Jan 2025

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.