Individual
JUSTIN MATTHEW MORALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
965 BURTON RAY ST NE, LACEY, WA 98516-7603
(954) 980-6987
Mailing address
8900 RESEARCH PARK DR APT 1419, SPRING, TX 77381-5248
(754) 332-9195
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
12/07/2020
Last updated
12/07/2020
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