Individual
SCOTT A MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCBA
Contact information
Practice address
502 HOLLY PL, SALEM, IL 62881-1237
(618) 315-4533
Mailing address
502 HOLLY PL, SALEM, IL 62881-1237
(618) 315-4533
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-53681
IL
Other
Enumeration date
11/01/2021
Last updated
04/28/2025
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