Individual
MRS. COREY MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., B,C.B.A.
Contact information
Practice address
5520 SOUTH 6TH STREET ROAD, SUITE 1700, SPRINGFIELD, IL 62703
(217) 585-5437
Mailing address
5520 SOUTH 6TH STREET ROAD, SUITE 1700, SPRINGFIELD, IL 62703
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
11/18/2013
Last updated
11/18/2013
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