Individual
MRS. MEGAN WILSON MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., BCBA
Contact information
Practice address
247 W MAIN ST, HENDERSONVILLE, TN 37075-7320
(615) 564-4984
Mailing address
116 SOUTHBURN DR, HENDERSONVILLE, TN 37075-3013
(615) 944-1928
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
11830102
TN
Other
Enumeration date
04/10/2018
Last updated
10/22/2020
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