Individual
MADELINE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, BCBA
Contact information
Practice address
7312 CENTRAL PARKE BLVD, MASON, OH 45040-6802
(513) 402-1711
(317) 520-8200
Mailing address
3500 DEPAUW BLVD STE 3070, INDIANAPOLIS, IN 46268-6135
(855) 324-0885
(317) 520-8200
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-26-87279
OH
103K00000X
Behavior Analyst
COBA.01901
OH
106S00000X
Behavior Technician
Primary
RBT-22-212602
OH
Other
Enumeration date
04/22/2022
Last updated
02/25/2026
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