Individual
NALICE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
1450 54TH ST STE C, COLUMBUS, GA 31904-4494
(706) 221-1208
(904) 538-0714
Mailing address
1450 54TH ST STE C, COLUMBUS, GA 31904-4494
(706) 221-1208
(904) 538-0714
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
RBT-20-131993
GA
Other
Enumeration date
12/16/2018
Last updated
08/20/2020
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