Individual
ASHLEY JANE MOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
2301 MAITLAND CENTER PKWY STE 240, MAITLAND, FL 32751-7415
(407) 574-6568
Mailing address
2301 MAITLAND CENTER PKWY STE 240, MAITLAND, FL 32751-7415
(407) 574-6568
(321) 765-6434
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-19-37317
—
106S00000X
Behavior Technician
RBT-17-45910
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
021983800
—
FL
Enumeration date
08/14/2018
Last updated
09/24/2019
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