Individual
AMANDA MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14550 YORK RD, SPARKS, MD 21152-9307
(866) 727-8274
Mailing address
14550 YORK RD, SPARKS, MD 21152-9307
(866) 727-8274
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
01/16/2017
Last updated
02/05/2020
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