Ellyssya B Moore, BCBA
NPI #1013898030 in Jackson, Mississippi
Provider Information
- NPI Number
- 1013898030
- Entity Type
- Individual
- Name
- Ellyssya B Moore, BCBA
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Behavior Analyst
- Credential
- BCBA
- Enumeration Date
- Sep 8, 2025
- Last Updated
- Sep 8, 2025
Practice Location
- Address
- 5837 N DALE ST
- City
- Jackson
- State
- Mississippi
- ZIP Code
- 39211-3333
- Phone
- (601) 376-6670
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Analyst |
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