Individual
TIMOTHY OMAR MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
525 N TRYON STREET, SUITE 1600, CHARLOTTE, NC 28202-0213
(855) 832-6727
Mailing address
7108 S KANNER HWY, STUART, FL 34997-7462
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
03/24/2021
Last updated
07/01/2026
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