Individual
COURTNEY SHAINICE MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
916 GARDEN WOOD DR, ATLANTA, GA 30349-6281
(678) 334-0558
Mailing address
916 GARDEN WOOD DR, ATLANTA, GA 30349-6281
(678) 334-0558
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
GA
Other
Enumeration date
04/02/2025
Last updated
04/02/2025
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