Individual
JILLIAN MOSES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., BCBA, LBA
Contact information
Practice address
3681 BRUCKNER BLVD, BRONX, NY 10461-4673
(646) 345-6954
Mailing address
1864 7TH AVE, NEW YORK, NY 10026-2824
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
11520040
NY
Other
Enumeration date
06/23/2016
Last updated
03/14/2025
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