NPI Information
- NPI:
1225740574
- Provider Name:
SHAKIRAH MOORE
- Classification:
Behavior Technician - 106S00000X
- Entity Type:
Individual
- Address:
3850 HOLCOMB BRIDGE RD
PEACHTREE CORNERS, GA
ZIP 30092
- Phone:
(470) 361-2462
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Taxonomy Codes
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
No. |
Taxonomy Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
1 | 106S00000X | Behavior Technician | | | | Yes |