Individual
BRANDON MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, BCBA, LBA
Contact information
Practice address
51145 NICOLETTE DR, CHESTERFIELD, MI 48047-4585
(586) 228-9991
Mailing address
51145 NICOLETTE DR, CHESTERFIELD, MI 48047-4585
(586) 228-9991
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
7401003052
MI
Other
Enumeration date
02/02/2022
Last updated
10/06/2025
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