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1790106342
KELLY ANN MOORE
TINLEY PARK, IL
NPI
1790106342
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: 1-13-12877)
Enumeration Date
2013-12-29
Last Update Date
2013-12-29
Business Address
Mrs. KELLY ANN MOORE BCBA
17845 RIDGELAND AVE
TINLEY PARK, IL 60477-4383
Phone number: 312-771-2346
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Mailing Address
Mrs. KELLY ANN MOORE BCBA
17845 RIDGELAND AVE
TINLEY PARK, IL 60477-4383
Phone number: 312-771-2346
Copy
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