Individual
MR. COLIN GAENEY MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
321 FORTUNE BLVD, MILFORD, MA 01757-1750
(508) 478-0207
(508) 634-6984
Mailing address
1573 FALL RIVER AVE, SEEKONK, MA 02771
(508) 478-0207
(508) 401-2696
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
11622253
—
Other
Enumeration date
12/13/2010
Last updated
05/24/2017
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