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Individual

DR. DOUGLAS RAYMOND MOES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PH.D., BCBA-D

Contact information

Practice address
4880 MARKET ST, VENTURA, CA 93003-7783
(805) 915-9912
(877) 644-7545
Mailing address
4880 MARKET ST, VENTURA, CA 93003-7783
(805) 915-9912
(805) 644-7827

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
103TC0700X
Clinical Psychologist
Primary
PSY #16222
CA

Other

Enumeration date
03/16/2009
Last updated
11/16/2011
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