Individual
MARIAH KATHLEEN MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
27708 JEFFERSON AVE STE 103, TEMECULA, CA 92590-2641
(951) 465-3664
Mailing address
PO BOX 78923, CORONA, CA 92877-0164
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
18050
CA
106S00000X
Behavior Technician
RBT-20-113582
CA
Other
Enumeration date
08/03/2020
Last updated
12/16/2024
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