Individual
MR. RASEAN LEE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1490 E MAIN ST, COLUMBUS, OH 43205-2140
(614) 252-0731
(000) 000-0000
Mailing address
1490 E MAIN ST, COLUMBUS, OH 43205-2140
(614) 252-0731
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
08/24/2018
Last updated
08/24/2018
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