Individual
MISS CHANEL L. MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
106 NORTHWEST DR, ROUND ROCK, TX 78664-4250
(512) 898-9044
(512) 857-1423
Mailing address
PO BOX 151716, AUSTIN, TX 78715-1716
(512) 898-9044
(512) 857-1423
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
9329
TX
Other
Enumeration date
03/21/2019
Last updated
11/04/2025
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