Individual
CHARITY ANN MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2675 COURT DR, GASTONIA, NC 28054-1478
(704) 824-3999
Mailing address
1806 LEXINGTON AVE, MONROE, NC 28112-7742
(304) 741-7314
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
BACB28526
—
106S00000X
Behavior Technician
Primary
BACB528526
—
Other
Enumeration date
11/13/2019
Last updated
11/13/2019
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