Individual
CIMONE TANISHA MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1411 W 190TH ST # W190TH, GARDENA, CA 90248-4324
(714) 834-1111
Mailing address
CIMONE MOORE 1100 E. VICTORIA ST., APT #W357, CARSON, CA 90746
(310) 956-8380
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
10/28/2021
Last updated
10/28/2021
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