Individual
MS. CARRIE MOSES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA# 1-03-1165
Contact information
Practice address
3347 CALIFORNIA ST, EUREKA, CA 95503-5166
(707) 496-0890
Mailing address
3347 CALIFORNIA ST, EUREKA, CA 95503-5166
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-03-1165
CA
Other
Enumeration date
07/11/2020
Last updated
07/11/2020
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