Individual
KEVIN MOSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
402 CORDER RD STE 400, WARNER ROBINS, GA 31088-7165
(800) 832-9419
(855) 859-1671
Mailing address
3121 N OAK STREET EXT, VALDOSTA, GA 31602-1099
(800) 832-9419
(855) 859-1671
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
04/16/2021
Last updated
04/16/2021
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