Individual provider · Type 1 NPI

Alexis Moore

Technician/Technologist · Dearborn, MI

NPI number 1265100226 Active

Practice location

19853 Outer Dr Ste 110
Dearborn, MI 48124-2044

Call (313) 406-5056 Map

Fax (248) 712-4381

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician 106S00000XNone listed
Technician/Technologist Primary 156F00000XNone listed

Technician/Technologist: A broad category grouping different kinds of technologists and technicians. See individual definitions.

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About NPI 1265100226

Alexis Moore's National Provider Identifier is 1265100226, issued on Sep 2, 2021. The primary taxonomy on file is Technician/Technologist (156F00000X), and the practice location is in Dearborn, MI. The record was last updated on Jan 3, 2022.