Ethan Moore
Ethan Moore is a Behavior Technician in Fort Smith, Arkansas. Practices as a sole proprietor. Registered with an NPI since 2026.
- In the registry since
- 2026
Practice location Address checks out
4300 Rogers Ave Ste 26Fort Smith, AR 72903-3152
Phone: (479) 867-4988
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X |
|---|
Record details
| NPI number | 1366346678 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | October 8, 2026 |
| Last updated in NPPES | October 8, 2026 |
| Certification date | October 8, 2026 |
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