Individual
MASON MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2330 TIMBER SHADOWS DR STE 205, KINGWOOD, TX 77339-2042
(281) 312-4434
Mailing address
2330 TIMBER SHADOWS DR STE 205, KINGWOOD, TX 77339-2042
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RBT-22-203988
BACB
—
Enumeration date
06/30/2022
Last updated
06/30/2022
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