Jesse Gary Daniel Moore

NPI #1972212694 in Alameda, California

Provider Information

NPI Number: 1972212694
Entity Type: Individual
Name: Jesse Gary Daniel Moore
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Nov 21, 2022
Last Updated: Jun 28, 2023

Practice Location

Address: 1025 ATLANTIC AVE
City: Alameda
State: California
ZIP Code: 94501-1189
Phone: (510) 268-8120

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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