Individual
ASHLEE CHANTAL MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
21241 VENTURA BLVD STE 187, WOODLAND HILLS, CA 91364-2196
(630) 650-0538
Mailing address
21241 VENTURA BLVD STE 187, WOODLAND HILLS, CA 91364-2196
(630) 650-0538
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
11212522
CA
Other
Enumeration date
12/17/2014
Last updated
12/17/2014
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