Individual
CARLY CATHERINE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
1009 N GEORGETOWN ST, ROUND ROCK, TX 78664-3289
(512) 255-1720
Mailing address
4701 BURNET RD APT 472, AUSTIN, TX 78756-2826
(404) 909-6689
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
5052
TX
106S00000X
Behavior Technician
—
—
Other
Enumeration date
09/04/2019
Last updated
05/13/2022
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