Moore, Ronald Lynn

Moore, Ronald Lynn is an sole proprietor health care provider with primary practice located at 5720 Oakwood St , Spencer OK 73084-8639. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as his primary health care specialty. Moore, Ronald Lynn can be contacted via phone (405) 408-9723.

Contact Information

Primary practice address
5720 Oakwood St Spencer OK 73084-8639
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X Oklahoma

Profile Details

NPI number 1114367646
LBN Legal business name Moore, Ronald Lynn
Credentials BEHAVIOR ANALYST
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 28th, 2013
Last updated Jun 28th, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114367646 NPPES
Oklahoma MEDICAID 200025790-B

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