Individual
ISAIAH MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1203 MEMORIAL BLVD STE E, MURFREESBORO, TN 37129-2420
(615) 549-6608
Mailing address
1203 MEMORIAL BLVD STE E, MURFREESBORO, TN 37129-2420
(615) 549-6608
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/09/2024
Last updated
10/09/2024
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