Individual
MERRICK MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1516 ODEON ST, NEW ORLEANS, LA 70114-3235
(504) 206-4863
Mailing address
1516 ODEON ST, NEW ORLEANS, LA 70114-3235
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/30/2019
Last updated
04/30/2019
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