Individual
COURTNEY MICHELLE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
380 CLEVELAND PL STE B, VIRGINIA BEACH, VA 23462-6529
(757) 416-5290
Mailing address
380 CLEVELAND PL STE B, VIRGINIA BEACH, VA 23462-6529
(757) 416-5290
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-20-144172
VA
Other
Enumeration date
06/03/2021
Last updated
06/03/2021
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