Individual
RYAN MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3410 SUNSET BLVD, WEST COLUMBIA, SC 29169-3042
(864) 757-9918
(864) 757-9921
Mailing address
3410 SUNSET BLVD, WEST COLUMBIA, SC 29169-3042
(864) 757-9918
(864) 757-9921
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-24-73818
SC
106S00000X
Behavior Technician
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—
Other
Enumeration date
02/17/2021
Last updated
07/14/2024
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