Individual
MRS. AMANDA MICHELLE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9305 MONROE RD STE L, CHARLOTTE, NC 28270-1490
(980) 819-0010
Mailing address
111 MACKENAN DR, CARY, NC 27511-7903
(919) 371-2848
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-17-25019
—
Other
Enumeration date
05/05/2017
Last updated
05/05/2017
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