Individual
CAITLYN MARIE MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1548 MINONITE RD STE 820, ROSENBERG, TX 77469-1281
(345) 533-4221
Mailing address
1822 TURTLE BLUFF LN, BOOTH, TX 77469-2993
(512) 783-5301
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-24-77957
TX
106S00000X
Behavior Technician
—
TX
Other
Enumeration date
07/13/2020
Last updated
02/06/2025
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