Individual
SARA MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 FORBES DR, HOPKINSVILLE, KY 42240-7200
(270) 215-5945
Mailing address
PO BOX 931142, ATLANTA, GA 31193-1142
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-25-411765
—
Other
Enumeration date
02/19/2025
Last updated
02/19/2025
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