Individual
MS. LAURA BERNARD MOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M. ED, BCBA
Contact information
Practice address
1603 SANCHEZ ST, UNIT A, AUSTIN, TX 78702-1640
(763) 439-0303
Mailing address
1603 SANCHEZ ST, UNIT A, AUSTIN, TX 78702-1640
(763) 439-0303
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-12-11847
TX
Other
Enumeration date
11/05/2012
Last updated
12/12/2016
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