Individual
CARMELLA MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1719 N ATLANTIC ST, SPOKANE, WA 99205-4804
(509) 494-9191
Mailing address
1001 E HASTINGS RD UNIT 200, SPOKANE, WA 99218-1752
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
CB70000738
WA
Other
Enumeration date
07/15/2025
Last updated
07/15/2025
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