Individual
MISS COURTNEY ROSE MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14131 MIDWAY RD STE 800, ADDISON, TX 75001-3627
(855) 782-7822
Mailing address
14131 MIDWAY RD STE 800, ADDISON, TX 75001-3627
(855) 782-7822
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
3146
TX
Other
Enumeration date
10/24/2012
Last updated
02/26/2020
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