Individual
MICHELLE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
107 W 82ND ST # LLP101, NEW YORK, NY 10024-5511
(646) 389-4112
Mailing address
15526 JEWEL AVE APT 3C, FLUSHING, NY 11367-1861
(443) 220-9008
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
01/31/2025
Last updated
02/05/2025
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