Provider Demographics
NPI:1942918883
Name:MOYE, MICHELLE B
Entity Type:Individual
Prefix:
First Name:MICHELLE
Middle Name:B
Last Name:MOYE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3815 S OTHELLO ST STE 100
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98118-3510
Mailing Address - Country:US
Mailing Address - Phone:206-930-2438
Mailing Address - Fax:206-299-9327
Practice Address - Street 1:420 2ND AVE S
Practice Address - Street 2:
Practice Address - City:KENT
Practice Address - State:WA
Practice Address - Zip Code:98032-5847
Practice Address - Country:US
Practice Address - Phone:425-246-7038
Practice Address - Fax:253-981-4872
Is Sole Proprietor?:No
Enumeration Date:2022-11-09
Last Update Date:2023-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician