Individual
EMILY MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7175 COLUMBIA GATEWAY DR, COLUMBIA, MD 21046-2534
(888) 344-5977
Mailing address
7175 COLUMBIA GATEWAY DR, COLUMBIA, MD 21046-2534
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
LBA292
MD
103TS0200X
School Psychologist
Primary
1001656910
MD
Other
Enumeration date
02/03/2017
Last updated
07/01/2025
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