Individual
LARISSA CONNER MOSELEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., BCBA
Contact information
Practice address
150 N CHURCH ST, ROCKY MOUNT, NC 27804
(252) 270-1001
Mailing address
PO BOX 749, BELMONT, NC 28012-0749
(704) 869-2088
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
2140
NC
Other
Enumeration date
07/17/2024
Last updated
10/10/2024
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