Individual provider · Type 1 NPI
Jordan N. Moore
Developmental Therapist · Morgantown, KY
Practice location
5289 Woodbury Loop
Morgantown, KY 42261-9302
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Developmental Therapist Primary | 222Q00000X | 201234059 (KY) |
Developmental Therapist: A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Deve…
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About NPI 1013753961
Jordan N. Moore's National Provider Identifier is 1013753961, issued on Jul 1, 2024. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Morgantown, KY. The record was last updated on Jul 1, 2024.