NPI 1316387988
Wendell C Moore, BHRS
Practice location
- Address
- 1501 W Jackson Pl, Broken Arrow, OK 74012-4910
- Phone
- (918) 892-3117
Registered specialties
Behavior Analyst
Primary
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.