Individual
GEORGE MORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10 W BROADWAY FL 7, SALT LAKE CITY, UT 84101-2060
(410) 609-6357
Mailing address
10 W BROADWAY FL 7, SALT LAKE CITY, UT 84101-2060
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/14/2026
Last updated
07/14/2026
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