Individual
SARA MOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
53 PERIMETER CTR E STE 550, ATLANTA, GA 30346-2228
(770) 822-9115
(770) 822-9457
Mailing address
4335 STEVE REYNOLDS BLVD, NORCROSS, GA 30093-3362
(470) 657-5525
(770) 822-9457
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BACB440408
—
Other
Enumeration date
10/04/2019
Last updated
10/11/2024
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