Organization
BEHAVIOR MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL MOATES MA, QBA, LBA, LCMHC (DIRECTOR)
(817) 999-7534
Entity
Organization
Contact information
Practice address
2700 COLORADO BLVD APT 1526, DENTON, TX 76210-6839
(817) 999-7534
Mailing address
2700 COLORADO BLVD APT 1526, DENTON, TX 76210-6839
(817) 999-7534
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103K00000X
Behavior Analyst
Primary
—
—
106E00000X
Assistant Behavior Analyst
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
06/01/2022
Last updated
06/01/2022
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