Individual
STEPHEN MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
500 S BURNT MILL RD, VOORHEES, NJ 08043-2205
(888) 859-7749
(888) 859-7749
Mailing address
500 S BURNT MILL RD, VOORHEES, NJ 08043-2205
(888) 859-7749
(888) 859-7749
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-19-99901
NJ
Other
Enumeration date
06/28/2021
Last updated
06/28/2021
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