Sara Matilda Moore

NPI #1003450883 in Alameda, California

Provider Information

NPI Number: 1003450883
Entity Type: Individual
Name: Sara Matilda Moore
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Nov 4, 2019
Last Updated: Nov 4, 2019

Practice Location

Address: 1025 ATLANTIC AVE STE 101
City: Alameda
State: California
ZIP Code: 94501-1188
Phone: (501) 268-8120

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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