Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LYDIA OMEGA MOORE
Active Sole ProprietorLYDIA OMEGA MOORE is a Behavior Technician healthcare provider located in EASTPOINTE, Michigan. NPI 1114517414 is currently active in the NPPES registry. Verify at CMS.
Behavior Technician · EASTPOINTE, MI
Registration Details
- NPI Number
- 1114517414
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 20, 2021 (5.5305915555384 yrs)
- Last Updated
- Feb 22, 2021
- Sole Proprietor
- Yes
Practice Information
- Address
-
22851 LEXINGTON AVEEASTPOINTE, MI, 480211990Browse MI providers · Browse ZIP 48021
- Phone
- 5862188570
- Primary Specialty
-
Behavior Technician
106S00000X
Other Behavior Technician Providers in EASTPOINTE, MI
| Name | Credential | NPI |
|---|---|---|
| AERYN LYNN RUTT | — | 1952991465 |
| CHARRONE A HILL | — | 1346830734 |
| CHARMAINE RENEE HILL | — | 1437749744 |
| TAVIA HARRIS | — | 1114511573 |
| DAYLON NICHELLE HARRIS | — | 1871294678 |
| MR. ANDRAY DAVID HIGGINS II | — | 1346941150 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.