Individual
TRAVIS MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1402 S SAGINAW ST, FLINT, MI 48503-3705
(810) 496-4955
Mailing address
1040 W BRISTOL RD, FLINT, MI 48507-5516
(810) 618-2713
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
MI
Other
Enumeration date
05/30/2023
Last updated
03/09/2026
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