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NPI Code Detail

MEDICARE: STEPHANIE MICHELE MOORE

MEDICARE:   STEPHANIE MICHELE MOORE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior TechnicianRBT-25-486179CO

General Provider Information

NPI Number : 1518819762
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHANIE MICHELE MOORE
Provider Business Mailing Address
First Line : 10650 E BETHANY DRIVE
Second Line :
City : AURORA
State : CO
Zip : 80014
Country : US
Telephone Number : 720-584-8055
Fax Number : 303-957-2251
Provider Business Practice Location Address
First Line : 10650 E BETHANY DRIVE
Second Line :
City : AURORA
State : CO
Zip : 80014
Country : US
Telephone Number : 720-584-8055
Fax Number : 303-957-2251
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/11/2026
Last Update Date : 02/11/2026

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Directions to “ STEPHANIE MICHELE MOORE ” Practice Location

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