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NPI Code Detail

MEDICARE: YAS'ZAIRE MOORE

MEDICARE: YAS'ZAIRE 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 TechnicianTX

General Provider Information

NPI Number : 1700754371
Entity Type Code : Individual
Provider Name (Legal Business Name) : YAS'ZAIRE MOORE
Provider Business Mailing Address
First Line : 13101 BRIAR FOREST DR APT 6608
Second Line :
City : HOUSTON
State : TX
Zip : 77077-2016
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 28111 S FIRETHORNE RD STE 401
Second Line :
City : KATY
State : TX
Zip : 77494-0317
Country : US
Telephone Number : 281-971-0766
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/27/2025
Last Update Date : 10/27/2025

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Directions to “ YAS'ZAIRE MOORE ” Practice Location

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