MS. Thearsa Ann Moore

NPI #1386876134 in New Albany, Indiana

Provider Information

NPI Number: 1386876134
Entity Type: Individual
Name: MS. Thearsa Ann Moore
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Analyst
Enumeration Date: Aug 12, 2009
Last Updated: Feb 2, 2012

Practice Location

Address: 2702 PAOLI PIKE APT 382
City: New Albany
State: Indiana
ZIP Code: 47150-5167
Phone: (502) 439-1892

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Developmental Therapist	222Q00000X
Behavior Analyst	103K00000X	Primary

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