Individual
DR. MICHAEL STEVEN MOATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
EDD, LP, LBA, QBA
Contact information
Practice address
5764 N ORANGE BLOSSOM TRL, ORLANDO, FL 32810
(179) 349-5008
Mailing address
2700 COLORADO BLVD APT 1526, DENTON, TX 76210-6839
(817) 999-7534
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP1600X
Pastoral Counselor
—
—
101YP2500X
Professional Counselor
—
—
103K00000X
Behavior Analyst
0133002387
VA
103T00000X
Psychologist
—
—
103TC0700X
Clinical Psychologist
Primary
TPPY1662
FL
103TC1900X
Counseling Psychologist
—
—
103TF0200X
Forensic Psychologist
—
—
103TM1800X
Intellectual & Developmental Disabilities Psychologist
—
—
106E00000X
Assistant Behavior Analyst
—
—
247200000X
Other Technician
—
—
Other
Enumeration date
06/17/2016
Last updated
10/25/2023
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