Individual
REBECCA MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
413 SMITH ST, WEST COLUMBIA, TX 77486
(979) 529-1654
Mailing address
413 SMITH ST, WEST COLUMBIA, TX 77486
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
01/26/2024
Last updated
01/26/2024
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