Individual
AMANDA ROSE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7108 S KANNER HWY, STUART, FL 34997-7462
(855) 832-6727
Mailing address
170 CAROL ANN TRL, TALLAHASSEE, FL 32317-7217
(772) 801-9177
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-23-68068
FL
106S00000X
Behavior Technician
—
FL
Other
Enumeration date
08/19/2021
Last updated
02/23/2026
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