Individual
AMIE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9600 GROVETON CIR APT 403, OWINGS MILLS, MD 21117-8310
(443) 418-3673
Mailing address
9600 GROVETON CIR APT 403, OWINGS MILLS, MD 21117-8310
(443) 418-3673
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/13/2019
Last updated
10/13/2019
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