Mark Moore, BEHAVIOR TECHNICIAN
NPI #1659101582 in North Lauderdale, Florida
Provider Information
- NPI Number
- 1659101582
- Entity Type
- Individual
- Name
- Mark Moore, BEHAVIOR TECHNICIAN
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Behavior Technician
- Credential
- BEHAVIOR TECHNICIAN
- Enumeration Date
- Aug 5, 2024
- Last Updated
- Sep 11, 2024
Practice Location
- Address
- 1740 S STATE ROAD 7 APT 104
- City
- North Lauderdale
- State
- Florida
- ZIP Code
- 33068-4654
- Phone
- (267) 393-6978
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
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