Individual
ANGELA MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
1530 MERIDIAN AVE STE 302, SAN JOSE, CA 95125-5350
(628) 250-7500
Mailing address
1530 MERIDIAN AVE STE 302, SAN JOSE, CA 95125-5350
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
11519719
CA
Other
Enumeration date
11/03/2015
Last updated
03/13/2025
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