MEDICARE: MARNAY MARION MOODY

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
1	106S00000X	Behavior Technician		MO

General Provider Information

NPI Number	:	1174488266
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARNAY MARION MOODY

Provider Business Mailing Address
First Line	:	3972 FIELDSTONE DR
Second Line	:
City	:	FLORISSANT
State	:	MO
Zip	:	63033-4002
Country	:	US
Telephone Number	:	314-441-0543
Fax Number	:

Provider Business Practice Location Address
First Line	:	3972 FIELDSTONE DR
Second Line	:
City	:	FLORISSANT
State	:	MO
Zip	:	63033-4002
Country	:	US
Telephone Number	:	314-441-0543
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/19/2025
Last Update Date	:	12/19/2025

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Directions to “ MARNAY MARION MOODY ” Practice Location

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