Alicia M Moore

NPI #1184125544 in South Yarmouth, Massachusetts

Provider Information

NPI Number: 1184125544
Entity Type: Individual
Name: Alicia M Moore
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Feb 21, 2018
Last Updated: Feb 21, 2018

Practice Location

Address: 436 STATION AVE
City: South Yarmouth
State: Massachusetts
ZIP Code: 02664-1208
Phone: (508) 694-0102

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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