Individual
MS. ALLYSON GAYLE MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., BCBA, LMFT
Contact information
Practice address
120 PERALTA AVE, MILL VALLEY, CA 94941-3519
(510) 331-8490
Mailing address
PO BOX 189, MILL VALLEY, CA 94942-0189
(510) 331-8490
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-04-2053
CA
106H00000X
Marriage & Family Therapist
48029
CA
Other
Enumeration date
06/03/2011
Last updated
03/23/2017
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