Individual
TOMEKIA E MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2610 E 3RD ST, CHATTANOOGA, TN 37404-1791
(404) 707-8733
Mailing address
1806 SHOLAR AVE, CHATTANOOGA, TN 37406-2845
(423) 840-0094
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
12/28/2018
Last updated
12/17/2019
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