Individual
ALISSA MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9431 LORAIN AVE, CLEVELAND, OH 44102-4889
(216) 456-3300
Mailing address
301 KATEY ROSE LN, EUCLID, OH 44143-2429
(216) 210-6298
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/05/2024
Last updated
11/06/2024
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