| Provider / Organization | NPI | Date Certified |
|---|---|---|
| TESSANDRA MOORE | 1881471233 | 2023-09-11 |
Tessandra Moore is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1881471233. Registration indicates Tessandra Moore is a provider of services with a specialization in Behavioral Health & Social Service Providers, Behavior Technician (Behavior Technician, Behavioral Health & Social Service Providers) (Behavior Technician, )
| Entity Type | Individual |
| Provider Name | Tessandra Moore |
| Practice Office Address | 901 WHALEN RD VERONA, WI US |
| Practice Office Telephone | 6082291643 |
| Mailing Address | 901 WHALEN RD VERONA, WI 535931765 US |
| Business Telephone | 6082291643 |
| Code | Practice | License No State |
|---|---|---|
| 106S00000X PRIMARY | Behavioral Health & Social Service Providers Behavior Technician Behavior Technician Behavioral Health & Social Service Providers Behavior Technician |