Individual
BAILEY MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
1612 VILLENA DR, MYRTLE BEACH, SC 29579-8052
(803) 447-2717
Mailing address
1000 GREY FOX LN UNIT 2302, MYRTLE BEACH, SC 29579-4613
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
SC
Other
Enumeration date
08/27/2024
Last updated
08/27/2024
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