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Organization

THE FOUNDATION FOR TRANSFORMATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICHAEL MOATES MA, QBA, LBA, QMHP-R (BEHAVIOR ANALYST)
(817) 999-7534
Entity
Organization

Contact information

Practice address
2700 COLORADO BLVD APT 1526, DENTON, TX 76210-6839
(817) 999-7534
Mailing address
2700 COLORADO BLVD APT 1526, DENTON, TX 76210-6839
(817) 999-7534

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
02/19/2022
Last updated
02/19/2022
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