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Individual

NOAH JAMES MOORE-BENGE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
BS BCABA

Contact information

Practice address
705 N ENGLEWOOD DR, CRAWFORDSVILLE, IN 47933-9744
(765) 307-2104
Mailing address
705 N ENGLEWOOD DR, CRAWFORDSVILLE, IN 47933-9744
(765) 307-2104

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
0-23-14233
IN
103K00000X
Behavior Analyst
Primary

Other

Enumeration date
02/28/2023
Last updated
02/28/2023
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