Individual
KHALILAAH S MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
77 W FAIRMONT AVE, SAVANNAH, GA 31406
(912) 221-5250
Mailing address
77 W FAIRMONT AVE, SAVANNAH, GA 31406
(912) 221-5250
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
RBT-25-419367
GA
Other
Enumeration date
08/01/2025
Last updated
08/01/2025
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