Individual
CHRISTOPHER MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
630 S RANCHO DR STE A, LAS VEGAS, NV 89106-4849
(702) 998-9505
Mailing address
630 S RANCHO DR STE A, LAS VEGAS, NV 89106-4849
(702) 998-9505
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
RBT-16-21212
NV
106S00000X
Behavior Technician
Primary
16-21212
NV
Other
Enumeration date
07/11/2016
Last updated
05/03/2021
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