Individual
BRICE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
2612 LONG PRAIRIE RD STE B, FLOWER MOUND, TX 75022-4981
(972) 895-2365
Mailing address
14131 MIDWAY RD STE 800, ADDISON, TX 75001-3627
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/09/2020
Last updated
11/09/2020
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