NPI 1124581947

Linnea Mary Moore, BA

Practitioner Other Technician Mankato, MN

Practice location

Address: 1720 Bassett Dr, Mankato, MN 56001-6569
Phone: (507) 565-0150

Registered specialties (2)

Other Technician Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 247200000X

Other Technician, Other providers in Minnesota →

Behavior Technician

Behavioral Health & Social Service Providers Taxonomy 106S00000X

Other Behavior Technician providers in Minnesota →

Registry record

NPI: 1124581947
Entity type: Individual
Sex (as registered): Female
NPI issued: 9 Apr 2019
Record last updated: 14 Dec 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.