Individual
BRIANNA MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2614 CHARLESTOWN RD., NEW ALBANY, IN 47159
(930) 204-2414
Mailing address
2614 CHARLESTOWN ROAD, NEW ALBANY, IN 47150
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
3710277365
IN
Other
Enumeration date
11/18/2025
Last updated
11/18/2025
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