Individual
AMANDA LEE MOOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
152 BRAND STE 200, MURPHY, TX 75094-3717
(469) 596-6710
Mailing address
7927 N GLEN DR APT 1047, IRVING, TX 75063-8008
(469) 796-7251
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
BACB462132
TX
Other
Enumeration date
11/04/2019
Last updated
11/04/2019
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