Colin Lance Moore, BCBA

NPI #1508043183 in Batavia, Illinois

Provider Information

NPI Number: 1508043183
Entity Type: Individual
Name: Colin Lance Moore, BCBA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Analyst
Credential: BCBA
Enumeration Date: Jan 26, 2008
Last Updated: Jan 8, 2024

Practice Location

Address: 1133 W WILSON ST APT E
City: Batavia
State: Illinois
ZIP Code: 60510-1884
Phone: (812) 814-0182

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X
Psychologist - Intellectual & Developmental Disabilities — Intellectual & Developmental Disabilities	103TM1800X
Psychologist - Psychoanalysis — Psychoanalysis	103TP0814X
Behavior Analyst	103K00000X	Primary

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