Moore, Timika N

Moore, Timika N is an sole proprietor health care provider with primary practice located at 700 Liberty Ln , West Carrollton OH 45449-2135. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is her primary health care specialty. Moore, Timika N can be contacted via phone (937) 247-2400.

Contact Information

Primary practice address
700 Liberty Ln West Carrollton OH 45449-2135
Phone: (937) 247-2400
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X
Other Service Providers / Case Manager/Care Coordinator 171M00000X Ohio

Profile Details

NPI number 1710641642
LBN Legal business name Moore, Timika N
Credentials QMHS 3YR
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 27th, 2021
Last updated Jan 5th, 2024 - about last year

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 1710641642 NPPES
Ohio MEDICAID 2910854

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