Whalio Doctors

NPI 1316387988

Wendell C Moore, BHRS

Practitioner Behavior Analyst Broken Arrow, OK

Practice location

Address
1501 W Jackson Pl, Broken Arrow, OK 74012-4910
Phone
(918) 892-3117

Registered specialties

Behavior Analyst Primary
Behavioral Health & Social Service Providers Taxonomy 103K00000X

Registry record

NPI
1316387988
Entity type
Individual
Sex (as registered)
Male
NPI issued
27 Jun 2013
Record last updated
27 Jun 2013

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.