Individual
KEIRA MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., BCBA
Contact information
Practice address
18 RUMFORD AVE, WALTHAM, MA 02453-3845
(518) 588-7496
Mailing address
18 RUMFORD AVE, WALTHAM, MA 02453-3845
(518) 588-7496
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
10/23/2013
Last updated
10/23/2013
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